WELLESLEY DIALYSIS LLC (NPI# 1184910275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184910275 |
| Entity Type | Organization |
| Organization Name | WELLESLEY DIALYSIS LLC |
| Practice Address |
195 Worcester St Wellesley MA 02481-5568 |
| Practice Telephone | 7814311414 |
| Practice Fax Number | 7814311144 |
| Mailing Telephone | 7814311414 |
| Mailing Fax Number | 7814311144 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| 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 |
|---|---|---|---|
| MA | 110091455A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | WELLESLEY DIALYSIS LLC | 500 Cummings Center, Suite 6550, Beverly, MA 01915 |
| Street Address |
195 WORCESTER ST |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689660540 | Erica Ellen Johnson | Internal Medicine | 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 | 2005-09-26 |
| 1295111888 | Biana Korjevsky Mico | Nurse Practitioner | 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 | 2015-08-05 |
| 1679821938 | Surbhi Rohatgi | Internal Medicine | 195 Worcester St, Wellesley, MA 02481-5568 | 2012-08-16 |
| 1457527277 | Nicole Marie Larue | Internal Medicine | 195 Worcester St, Wellesley, MA 02481-5568 | 2008-05-01 |
| 1285793141 | About Women By Women | Clinic/Center | 195 Worcester St, Wellesley, MA 02481-5568 | 2006-12-07 |
| 1750489522 | Allison Marlene August | Specialist | 195 Worcester St, Wellesley, MA 02481-5568 | 2006-09-20 |
| 1871528935 | Eve N Sobel | Internal Medicine | 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 | 2006-07-11 |
| 1598701179 | Jennifer Paterson | Internal Medicine | 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 | 2006-06-21 |
| 1598705022 | Janet M Chang | Internal Medicine | 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 | 2006-06-06 |
| 1760438170 | Denise Mayo | Internal Medicine | 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| 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 |
|---|---|---|---|---|
| 1851350714 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 195 Worcester St, Lower Level, Wellesley, MA 02481-5568 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025217 | Leominster Dialysis LLC | Clinic/Center | 20 Commercial Rd Ste 5, Leominster, MA 01453-3339 | 2019-10-28 |
| 1801448725 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 10 Galaxy Pass Ste A, Sutton, MA 01590-4838 | 2019-07-11 |
| 1023596863 | Ara-holyoke Dialysis LLC | Clinic/Center | 36 Lower Westfield Rd Unit C-153, Holyoke, MA 01040-2749 | 2018-08-03 |
| 1831603638 | Auburn Health LLC | Clinic/Center | 771 Southbridge St Ste 1, Auburn, MA 01501-1345 | 2017-12-01 |
| 1295247955 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 867 Grafton St Ste 3, Worcester, MA 01604-2052 | 2017-11-02 |
| 1356850242 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 267 Shrewsbury St, Worcester, MA 01604-4623 | 2017-09-24 |
| 1942673819 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 216 Huttleston Ave, Fairhaven, MA 02719-1958 | 2015-11-02 |
| 1134500747 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 75 Newbury St, Danvers, MA 01923-1083 | 2015-06-10 |
| 1588067623 | Nxstage Boston South, LLC | Clinic/Center | 500 Providence Hwy Ste 1, Norwood, MA 02062-4960 | 2014-10-03 |
| 1164840484 | Fresenius Medical Care Cnv Marlborough, LLC | Clinic/Center | 360 Cedar Hill St Ste 3, Marlborough, MA 01752-4175 | 2014-04-03 |
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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.