PHYSICIANS DIALYSIS PASSAIC LLC (NPI# 1124570346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124570346 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS DIALYSIS PASSAIC LLC |
| Practice Address |
10 Clifton Blvd Clifton NJ 07011-3802 |
| Mailing Address |
19559 Ne 10th Ave North Miami Beach FL 33179-3501 |
| Practice Telephone | 9735949100 |
| Mailing Telephone | 3056513261 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | MR. GARY J BOOTH (CEO) |
| Authorized Official Telephone | 3056513261 |
| 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 |
22618 | NJ | Ambulatory Health Care Facilities |
| Street Address |
10 CLIFTON BLVD |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07011-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982642401 | Renal Center of Passaic, LLC | Clinic/Center | 10 Clifton Blvd, Suite 1, Clifton, NJ 07011-3802 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285101980 | Trucare Adult Medical Day Care | Clinic/Center | 111 Paulison Avenue, Clifton, NJ 07011 | 2018-10-31 |
| 1801389903 | Sonja Abbassi Md | Internal Medicine | 1618 Main Avenue, 1618 Main Avenue, Clifton, NJ 07011 | 2018-06-13 |
| 1346747003 | Laquanda Kiera Turner | Social Worker | 139 Lake Avenue, Clifton, NJ 07011 | 2018-04-10 |
| 1083120414 | Castellaro Chiropractic | Chiropractor | 385 Lakeview Avenue, Clifton, NJ 07011 | 2017-12-21 |
| 1982124707 | Rana Garris | Student in an Organized Health Care Education/Training Program | 327 Luddington Avenue, 1st Floor, Clifton, NJ 07011 | 2017-06-22 |
| 1528501335 | Mental Health Association In Passaic County | Clinic/Center | 404 Clifton Ave., Clifton, NJ 07011 | 2016-11-28 |
| 1346694114 | Desjet LLC | Emergency Medicine | 35 Ackerman Avenue, Clifton, NJ 07011 | 2016-04-19 |
| 1437524493 | Pooja Jainish Vashi | Physical Therapist | 246 Clifton Ave Ste 5, Clifton, NJ 07011 | 2015-12-02 |
| 1093122830 | Truecare | Ambulance | 135 Demott Ave, 135, Clifton, NJ 07011 | 2014-07-14 |
| 1952641391 | Y.a.f.a. Group LLC | Ambulance | 11 Richmond St, Clifton, NJ 07011 | 2013-02-21 |
| Find all providers in zip 07011 | ||||
| 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 |
|---|---|---|---|---|
| 1598306276 | Fresenius Medical Care Passaic, LLC | Clinic/Center | 10 Clifton Blvd Ste 1, Clifton, NJ 07011-3802 | 2019-10-03 |
| 1982642401 | Renal Center of Passaic, LLC | Clinic/Center | 10 Clifton Blvd, Suite 1, Clifton, NJ 07011-3802 | 2006-06-04 |
| 1902265028 | Clifton Dialysis Center LLC | Clinic/Center | 251 Clifton Ave, Unit A, Clifton, NJ 07011-1961 | 2016-02-17 |
| 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 |
| 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 |
| 1033770458 | Pinson Dialysis LLC | Clinic/Center | 547 Morris Ave, Elizabeth, NJ 07208-1985 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PHYSICIANS DIALYSIS PASSAIC LLC.
| 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.