A Unique Kidney Center LLC

Primary specialty

Peritoneal Dialysis Registered NurseTaxonomy code 163WD1100X

Legal business name

A UNIQUE KIDNEY CENTER LLC

Practice address

3105 N University Dr
Davie, FL 33024-2234

Phone

(954) 438-6080

Fax

(954) 966-3656

NPI assigned

Jul 6, 2007

Last updated

Oct 9, 2020By 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

Dr. Manjit Singh Gulati, MDNPI 1164433256

Title

Owner

Phone

(954) 438-6080

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

A Unique Kidney Center LLCCCN 682504

Ownership

Profit

Certified

Apr 8, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manjit Singh Gulati, MD

  • Nephrology Physician
  • Davie, FL
  • NPI 1164433256
  NPD Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Manjit Singh Gulati, MD

  • Nephrology Physician
  • Davie, FL
  • NPI 1164433256

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1033317433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10726 CHARLESTON PL",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264906",
            "telephone_number": "954-438-6080",
            "fax_number": "954-499-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 N UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "330242234",
            "telephone_number": "954-438-6080",
            "fax_number": "954-966-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A UNIQUE KIDNEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "GULATI",
        "authorized_official_first_name": "MANJIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-438-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Davie, FL
• Providers in Davie, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.