Kittery Dialysis LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Paterson, New Jersey
1720739055- Practice location
- 490 Chamberlain Ave, Paterson, NJ 07522-1089
- Phone
- 862-657-5572
- Fax
- 862-657-5644
- Last updated
- April 8, 2025
Kittery Dialysis LLC is a healthcare organization based in Paterson, NJ. Kittery Dialysis LLC practices in Paterson, NJ. The NPI Number for Kittery Dialysis LLC is 1720739055. The current practice location address for Kittery Dialysis LLC is 490 Chamberlain Ave, Paterson, NJ 07522-1089 and can be reached out via phone at 862-657-5572 and via fax at 862-657-5644.
Provider Profile Details
- NPI Number
- 1720739055
- Provider Name
- Kittery Dialysis LLC
- Provider Entity Type
- Organization
- Address
- 490 Chamberlain Ave, Paterson, NJ 07522-1089
- Phone Number
- 862-657-5572
- Fax Number
- 862-657-5644
- Primary Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X
- Organization Subpart
- No
- Authorized Official
- Samuel Wey · Vp, Licensure & Certification · 615-341-6641
- Other Names
- West Paterson Dialysis (Doing Business As)
- Provider Enumeration Date
- January 18, 2022
- Last Update Date
- April 8, 2025
- Certification Date
- April 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 490 Chamberlain Ave
Paterson, NJ 07522-1089 - City
- Paterson
- State
- New Jersey
- Zip
- 07522-1089
- Phone Number
- 862-657-5572
- Fax Number
- 862-657-5644
Provider Business Mailing Address Details
- Address
- 5200 Virginia Way
L&c Dept
Brentwood, TN 37027-7569 - City
- Brentwood
- State
- TN
- Zip
- 37027-7569
License Information
- Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kittery Dialysis LLC?
The NPI number of Kittery Dialysis LLC is 1720739055. It was assigned on January 18, 2022 and is currently active in the NPPES registry.
What is the specialty of Kittery Dialysis LLC?
Kittery Dialysis LLC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X).
Where does Kittery Dialysis LLC practice?
The practice location is 490 Chamberlain Ave, Paterson, NJ 07522-1089. The office can be reached at 862-657-5572 (phone) or 862-657-5644 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720739055 directly on the NPPES registry website.