LIBERTY DIALYSIS - HAMMONTON LLC (NPI# 1992967657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992967657 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS - HAMMONTON LLC |
| Practice Address |
392 N White Horse Pike Hammonton NJ 08037-1866 |
| Mailing Address |
7650 Se 27th St Suite 200 Mercer Island WA 98040-3060 |
| Practice Telephone | 6095610044 |
| Mailing Telephone | 2062365001 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2014-10-20 |
| Authorized Official Name | RYAN B PARDO (VICE PRESIDENT) |
| Authorized Official Telephone | 2068166506 |
| 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 |
| Street Address |
392 N WHITE HORSE PIKE |
| City | HAMMONTON |
| State | NJ |
| Zip Code | 08037-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225013725 | Stuart Warren Honick | Podiatrist | 392 N White Horse Pike, Suite 2, Hammonton, NJ 08037-1866 | 2005-12-07 |
| 1609122712 | Elyann H Doebler | Podiatrist | 392 N White Horse Pike, Suite 102, Hammonton, NJ 08037-1866 | 2012-07-26 |
| 1316918675 | Charles Boxman | Podiatrist | 392 N White Horse Pike, Suite 2, Hammonton, NJ 08037-1866 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312532 | Hope On Wheels LLC | Transportation Broker | 882 12th Street, 882 12th Street D5, Hammonton, NJ 08037 | 2019-05-23 |
| 1679050389 | Lori's Wellness Loft | Massage Therapist | 240 S White House Pike, Suite B4, Hammonton, NJ 08037 | 2018-07-25 |
| 1306364773 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2404 4th Road, Folsom, NJ 08037 | 2017-09-06 |
| 1376070003 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1204 11th Street, Folsom, NJ 08037 | 2017-05-12 |
| 1881138154 | Kennedy Medical Group Practice P.C. | Family Medicine | 630 B South White Horse Pike, Hammonton, NJ 08037 | 2016-12-06 |
| 1467908350 | John Lloyd Jr. | Counselor | 63 Laurel Lane, Hammonton, NJ 08037 | 2016-08-30 |
| 1407218019 | Karon Ross | Counselor | 44 Fern Lane, Hammonton, NJ 08037 | 2016-03-23 |
| 1396106548 | Helen Durham | Counselor | 61 Laurel Lane, Hammonton, NJ 08037 | 2016-03-16 |
| 1972994481 | Person First New Jersey LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Heggan Ln, Heggan Ln, Hammonton, NJ 08037 | 2015-02-05 |
| 1659702298 | Alienta Limited Liability Company | Community/Behavioral Health | 425 N Third Street, Hammonton, NJ 08037 | 2013-12-09 |
| Find all providers in zip 08037 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on LIBERTY DIALYSIS - HAMMONTON 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.