RENAL CENTER OF SOMERVILLE, LLC (NPI# 1124121405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124121405 |
Entity Type | Organization |
Organization Name | RENAL CENTER OF SOMERVILLE, LLC |
Practice Address |
1 Route 206 North Somerville NJ 08876-4143 |
Mailing Address |
1626 Cole Boulevard Ste 100 Lakewood CO 80401-3306 |
Practice Telephone | 9084500396 |
Practice Fax Number | 9084500399 |
Mailing Telephone | 3033844000 |
Mailing Fax Number | 7204979700 |
Enumeration Date | 2006-09-05 |
Last Update Date | 2015-03-13 |
Authorized Official Name | RICHARD L CHATFIELD (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3033844090 |
Is Organization Subpart | Y |
Parent Organization Name | RENAL VENTURES MANAGMENT, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
23433 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0088391 | 05 |
Street Address |
1 ROUTE 206 NORTH |
City | SOMERVILLE |
State | NJ |
Zip Code | 08876-4143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730728999 | Christine Paige Robbins | Speech-Language Pathologist | 21 E High St, 2nd Floor, Somerville, NJ 08876 | 2020-01-04 |
1043861339 | County of Somerset | Public Health or Welfare | 27 Warren Street, 3rd Floor, Somerville, NJ 08876 | 2019-09-27 |
1275098840 | Ruth Leslie Goldsmith | Social Worker | 134 W End Ave Fl 2, Somerville, NJ 08876 | 2019-02-07 |
1114417524 | Dae Kim | Student in an Organized Health Care Education/Training Program | Somerset Family Practice, 110 Rehill Avenue, Somerville, NJ 08876 | 2018-05-11 |
1881195881 | Fisayo Tunde | Obstetrics & Gynecology | 3322 Us Highway 22 Ste 1302, Branchburg, NJ 08876 | 2018-02-24 |
1972026268 | Deirdre Mccarthy | Physical Therapist | 18 Sunset St., Branchburg, NJ 08876 | 2017-07-19 |
1649719964 | Alternatives, Inc. | Community/Behavioral Health | 85-87 Fairview Ave., Somerville, NJ 08876 | 2017-02-20 |
1083153308 | Jing Acupuncture Service LLC | Acupuncturist | 3322 Us Highway 22, Bldg 8, 805, Branchburg, NJ 08876 | 2017-02-20 |
1326590548 | Physicians Dialysis Somerville, LLC | Clinic/Center | 1 Route 206, North, Somerville, NJ 08876 | 2016-11-04 |
1548501679 | Bilal Mian Md Pa | Psychiatry & Neurology | 310 East Mian St, Somerville, NJ 08876 | 2013-03-14 |
Find all providers in zip 08876 |
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 |
---|---|---|---|---|
1326590548 | Physicians Dialysis Somerville, LLC | Clinic/Center | 1 Route 206, North, Somerville, NJ 08876 | 2016-11-04 |
1730346933 | Somerville Dialysis Center LLC | Clinic/Center | 12475 Us Highway 64, Somerville, TN 38068-6029 | 2008-05-16 |
1972536357 | Dialysis Clinic Inc. | Clinic/Center | 645 Broadway, Somerville, MA 02145-2528 | 2006-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
City | SOMERVILLE |
Zip Code | 08876 |
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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.