BERLIN DIALYSIS CENTER (NPI# 1770690711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770690711 |
| Entity Type | Organization |
| Organization Name | BERLIN DIALYSIS CENTER |
| Practice Address |
30 Tansboro Rd Berlin NJ 08009-1948 |
| Practice Telephone | 8568090036 |
| Practice Fax Number | 8568099090 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ANTHONY J SCHIAVO (ADMINISTRATOR) |
| Authorized Official Telephone | 8568090036 |
| 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 |
23236 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0047023 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BERLIN DIALYSIS CENTER | 9952 N Main St Bldg #3, Berlin, MD 21811-1049 |
| Street Address |
30 TANSBORO RD |
| City | BERLIN |
| State | NJ |
| Zip Code | 08009-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578678165 | Liberty Dialysis - Berlin LLC | Clinic/Center | 30 Tansboro Rd, Berlin, NJ 08009-1948 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104365592 | Sean Gerard King | Physical Therapist | 115 Route 73 N, #80, Berlin, NJ 08009 | 2017-02-17 |
| 1407303472 | Phoebe Brady | Counselor | 116 Grove St., Berlin, NJ 08009 | 2016-09-07 |
| 1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
| 1346625423 | Amy Torpey | Social Worker | 128 Berlin Cross Keys Road, Berlin, NJ 08009 | 2015-07-30 |
| 1821479494 | Personalized Independent Living Opporuntities & Training Services | Day Training, Developmentally Disabled Services | 283 Jackson Road, Berlin, NJ 08009 | 2015-06-09 |
| 1821497520 | Joseph Cesarine | Emergency Medicine | 100 Townsend Aveniue, Berlin, NJ 08009 | 2014-08-19 |
| 1831443282 | Dedra Lombardi | Counselor | 16 Jason Drive, Berlin, NJ 08009 | 2012-11-07 |
| 1053620674 | Richard Nazer | Dentist | 339 North Route 73, Berlin, NJ 08009 | 2010-09-30 |
| 1134372329 | Caroline Rose Eisenberg | Dietitian, Registered | 127 Berlin Cross Keys Rd, Berlin, NJ 08009 | 2008-10-31 |
| 1720253743 | Terry L Fazio | Nurse Practitioner | 100 Townsend Rd, Bedin, NJ 08009 | 2008-04-30 |
| Find all providers in zip 08009 | ||||
| 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 |
|---|---|---|---|---|
| 1578678165 | Liberty Dialysis - Berlin LLC | Clinic/Center | 30 Tansboro Rd, Berlin, NJ 08009-1948 | 2006-08-21 |
| 1376503532 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9952 N Main St, Bldg #3, Berlin, MD 21811-1049 | 2006-03-23 |
| 1235513912 | Total Renal Care Inc | Clinic/Center | 432 Oak St, Berlin, WI 54923-0000 | 2015-07-13 |
| 1932143377 | University of Vermont Medical Center Inc | Clinic/Center | 130 Fisher Rd, Berlin, VT 05602-9516 | 2006-06-16 |
| 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 | ||||
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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.