Kidney Life, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Newark, New Jersey
1821646035- Practice location
- 262 Broad St, Newark, NJ 07104-3809
- Phone
- 973-268-7184
- Fax
- 973-268-2802
- Last updated
- June 3, 2025
Kidney Life, LLC is a healthcare organization based in Newark, NJ. Kidney Life, LLC practices in Newark, NJ. The NPI Number for Kidney Life, LLC is 1821646035. The current practice location address for Kidney Life, LLC is 262 Broad St, Newark, NJ 07104-3809 and can be reached out via phone at 973-268-7184 and via fax at 973-268-2802.
Provider Profile Details
- NPI Number
- 1821646035
- Provider Name
- Kidney Life, LLC
- Provider Entity Type
- Organization
- Address
- 262 Broad St, Newark, NJ 07104-3809
- Phone Number
- 973-268-7184
- Fax Number
- 973-268-2802
- 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
- Newark Mt Pleasant Dialysis (Doing Business As)
- Provider Enumeration Date
- August 30, 2019
- Last Update Date
- June 3, 2025
- Certification Date
- June 3, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 262 Broad St
Newark, NJ 07104-3809 - City
- Newark
- State
- New Jersey
- Zip
- 07104-3809
- Phone Number
- 973-268-7184
- Fax Number
- 973-268-2802
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 Kidney Life, LLC?
The NPI number of Kidney Life, LLC is 1821646035. It was assigned on August 30, 2019 and is currently active in the NPPES registry.
What is the specialty of Kidney Life, LLC?
Kidney Life, LLC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X).
Where does Kidney Life, LLC practice?
The practice location is 262 Broad St, Newark, NJ 07104-3809. The office can be reached at 973-268-7184 (phone) or 973-268-2802 (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 1821646035 directly on the NPPES registry website.