RENAL CENTER OF ENGLEWOOD, LLC (NPI# 1063858751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063858751 |
| Entity Type | Organization |
| Organization Name | RENAL CENTER OF ENGLEWOOD, LLC |
| Other Organization Name | RENAL CENTER OF ENGLEWOOD |
| Practice Address |
300 Grand Ave Ste 103 Englewood NJ 07631-6300 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 2017313149 |
| Practice Fax Number | 2017313172 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFC & TREASURER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0431320 | 05 |
| Other Name | Type Code |
|---|---|
| Renal Center of Englewood | Doing Business As Name - Organization |
| Street Address |
300 GRAND AVE STE 103 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929635 | George Klafter | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2005-08-15 |
| 1376975649 | Mdstyle | Otolaryngology | 300 Grand Ave, Suite 104, Englewood, NJ 07631-4398 | 2013-08-08 |
| 1588930663 | Englewood Dermatology Center | Preferred Provider Organization | 300 Grand Ave, Suite 201, Englewood, NJ 07631-4398 | 2012-03-22 |
| 1326370172 | Chong Mu Lee | Acupuncturist | 300 Grand Ave, Suite 101, Englewood, NJ 07631-4398 | 2010-02-04 |
| 1346480738 | Rejuvenate Rehabilitation Center | Clinic/Center | 300 Grand Ave, Suite 101, Englewood, NJ 07631-4398 | 2009-02-25 |
| 1992901052 | Robert Bradley Simon | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2007-06-25 |
| 1518049832 | Gary D Wasserman | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2006-10-19 |
| 1144231515 | Monica Tadros | Specialist | 300 Grand Ave, Suite #104, Englewood, NJ 07631-4398 | 2006-08-11 |
| 1407846827 | Thomas Chun | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2005-10-26 |
| 1477555993 | Steven Katz | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2005-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245891670 | Isd Renal Inc | Clinic/Center | 100 W Forest Ave Ste G, Englewood, NJ 07631-4033 | 2019-06-26 |
| 1568710978 | Denver West Hampden, LLC | Clinic/Center | 750 W Hampden Ave # 110, Englewood, CO 80110-2165 | 2012-08-16 |
| 1255308433 | Rocky Mountain Dialysis Services LLC | Clinic/Center | 9777 Pyramid Ct Ste 140, Englewood, CO 80112 | 2006-03-07 |
| 1821065665 | Total Renal Care Inc | Clinic/Center | 3247 S Lincoln St, Englewood, CO 80113 | 2006-03-01 |
| 1124040019 | Northern New Jersey Dialysis LLC | Clinic/Center | 350 Engle St, Englewood, NJ 07631-1808 | 2006-07-23 |
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|---|---|---|---|---|
| 1356963938 | Usrc Gloucester, LLC | Clinic/Center | 601 Berlin Cross Keys Rd, Sicklerville, NJ 08081-9563 | 2020-05-18 |
| 1679192876 | Knickerbocker Dialysis Inc | Clinic/Center | 1734 Hancock St, Ridgewood, NJ 11385-4734 | 2020-04-09 |
| 1750910295 | Elandon Dialysis LLC | Clinic/Center | 820 N Rte 17, Paramus, NJ 07652-3104 | 2020-04-06 |
| 1780212365 | Zellier Dialysis LLC | Clinic/Center | 1260 Route 22 E, North Plainfield, NJ 07060 | 2020-03-30 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1598306276 | Fresenius Medical Care Passaic, LLC | Clinic/Center | 10 Clifton Blvd Ste 1, Clifton, NJ 07011-3802 | 2019-10-03 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1699323824 | Claymount Dialysis LLC | Clinic/Center | 21 Cornwell Dr, Bridgeton, NJ 08302-3632 | 2019-08-30 |
| 1962064758 | Fresenius Medical Care Bridgeton, LLC | Clinic/Center | 12 Cornwell Dr, Bridgeton, NJ 08302-3633 | 2019-07-02 |
| 1790347698 | Wellbound of Cherry Hill, LLC | Clinic/Center | 1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2117 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.