WOODLAND PARK DIALYSIS CENTER LLC (NPI# 1942517073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942517073 |
| Entity Type | Organization |
| Organization Name | WOODLAND PARK DIALYSIS CENTER LLC |
| Practice Address |
1225 Mcbride Ave Woodland Park NJ 07424-2540 |
| Practice Telephone | 9738902394 |
| Practice Fax Number | 9738902649 |
| Mailing Telephone | 9738902394 |
| Mailing Fax Number | 9738902649 |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MRS. SHARI 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 |
|---|---|---|---|
| NJ | 0266485 | 05 |
| Street Address |
1225 MCBRIDE AVE |
| City | WOODLAND PARK |
| State | NJ |
| Zip Code | 07424-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679548234 | Elsie Koh | Radiology | 1225 Mcbride Ave, Suite 116, Woodland Park, NJ 07424-3812 | 2006-02-17 |
| 1215316641 | Passaic Valley Medical Pharmacy LLC | Pharmacy | 1225 Mcbride Ave, Suite 112, Woodland Park, NJ 07424-3812 | 2015-05-19 |
| 1790174779 | Capstone Health Group | Specialist | 1225 Mcbride Ave, Suite 222, Woodland Park, NJ 07424-3812 | 2015-01-14 |
| 1669880746 | Tiffany Tatevossian | Internal Medicine | 1225 Mcbride Ave, Woodland Park, NJ 07424-3812 | 2014-08-01 |
| 1437416757 | Valentine Nutrition LLC | Dietitian, Registered | 1225 Mcbride Ave, Suite 200, Woodland Park, NJ 07424-3812 | 2012-04-12 |
| 1265720361 | Kathryn Lee Valentine | Dietitian, Registered | 1225 Mcbride Ave, Suite 200, Woodland Park, NJ 07424-3812 | 2011-07-11 |
| 1770879249 | Peter F. Dipaolo, Md, Pa | Orthopaedic Surgery | 1225 Mcbride Ave, Suite 111, Woodland Park, NJ 07424-2540 | 2011-06-23 |
| 1447558655 | New Jersey Advanced Gastroenterology, LLC | Specialist | 1225 Mcbride Ave, Suite 200, Woodland Park, NJ 07424-2540 | 2011-03-11 |
| 1457477077 | Golden Years Adult Day Care Center | Clinic/Center | 1225 Mcbride Ave, Woodland Park, NJ 07424-3812 | 2007-03-22 |
| 1437219045 | Peter F Dipaolo | Orthopaedic Surgery | 1225 Mcbride Ave, Suite 111, Woodland Park, NJ 07424-2540 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316502438 | Daniel E Brito | Licensed Practical Nurse | 163 E Main St 2nd Floor, Little Falls, NJ 07424 | 2019-05-03 |
| 1073008041 | Liza Imperial | Registered Nurse | 188 Newark Pompton Turnpike, Little Falls, NJ 07424 | 2018-06-22 |
| 1770962326 | Matthew Schinelli | Kinesiotherapist | 661 Upper Mountain Avenue, Little Falls, NJ 07424 | 2015-05-28 |
| 1003247073 | Parabolic Performance & Rehabilitation Little Falls LLC | Clinic/Center | 28 Clove Rd, Floyd Hall Arena, Little Falls, NJ 07424 | 2013-12-02 |
| 1013351675 | Natasha Chhabra | Internal Medicine | 1031 Mcbride Avenue, Suite D212, Woodland Park, NJ 07424 | 2013-04-24 |
| 1487903043 | Mali Desantis | Speech-Language Pathologist | 156 Haverhill Ave, Woodland Park, NJ 07424 | 2012-08-29 |
| 1043452014 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 228 Browertown Rd, Little Falls, NJ 07424 | 2009-04-06 |
| 1366640815 | For The Love of Life Inc | Chiropractor | 603 Lackawanna Avenue, West Paterson, NJ 07424 | 2007-07-06 |
| 1134326374 | Kimberly Physical Therapy | Physical Therapist | 153 Route 23, Little Falls, NJ 07424 | 2007-06-29 |
| 1467673483 | Jeanne M. Kilroy | Nurse Practitioner | 275 Patterson Avenue, 1st Floor, Little Falls, NJ 07424 | 2007-05-01 |
| Find all providers in zip 07424 | ||||
| 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 |
|---|---|---|---|---|
| 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 | WOODLAND PARK |
| Zip Code | 07424 |
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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.