Pennsylvania Dialysis Clinic of Reading, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

PENNSYLVANIA DIALYSIS CLINIC OF READING, INC.

Practice address

625 Spring St
Wyomissing, PA 19610-1770

Phone

(610) 375-1215

Fax

(610) 375-0245

NPI assigned

Sep 1, 2005

Last updated

Dec 22, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sandra D. Flood

Title

Coo

Phone

(305) 534-5102

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1023002391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536171",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152535903",
            "telephone_number": "610-375-1215",
            "fax_number": "610-375-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SPRING ST",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101770",
            "telephone_number": "610-375-1215",
            "fax_number": "610-375-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA DIALYSIS CLINIC OF READING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "FLOOD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-534-5102",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011017970003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Charles Pedro, DMD
• David Pelagio
• Joanna Pena
• Penn's Commons Dental Group
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #16577)
• Pennsylvania Eye & Ear Surgery
• Christian Perez
• Emily Perez
• Preciosa Perez, DDS
• Rick Anthony Perez, MSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.