Dialysis Clinic Inc.

Primary specialty

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

License

22638 Issued in NJ

Legal business name

DIALYSIS CLINIC INC.

Practice address

950 Hamilton St
Somerset, NJ 08873-3338

Phone

(732) 214-9128

Fax

(732) 214-9158

NPI assigned

Jul 8, 2006

Last updated

Oct 4, 2023By 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

Mr. Donovan Schultz

Title

President

Phone

(615) 329-2513

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Nashville, TN
  • NPI 1871526350

  Member Of

  NPD member

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1023041415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N CENTER DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024910",
            "telephone_number": "732-565-5440",
            "fax_number": "732-565-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HAMILTON ST",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733338",
            "telephone_number": "732-214-9128",
            "fax_number": "732-214-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-329-2513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": "22638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8449503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Develder, MSW
• Developmental Disabilities Association of New Jersey Inc.
• Developmental Dsiabilities Association of New Jersey Inc
• Devereux Foundation (Devereux Advanced Behavioral Health)
• Diabetes Concepts- LLC
• Diamond Dreamers LLC
• Francesca Dibiase
• Judith Heath Diem, M.A.,CCC/SLP
• Dominique Marie Dierking, MOT
• Digestive Disease Center of NJ LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Somerset, NJ
• Providers in Somerset, NJ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.