Pinson Dialysis LLC

Primary specialty

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

Legal business name

PINSON DIALYSIS LLC

Practice address

547 Morris Ave
Elizabeth, NJ 07208-1985

Phone

(908) 436-9201

Fax

(908) 436-9206

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Samuel Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elmora Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

DaVita ElmoraCCN 312704

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Mar 4, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

19

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 3

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

• Dva Healthcare Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pearsall, TX
  • NPI 1194789859

  Member Of

  NPD member
• Isd Renal Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Akron, OH
  • NPI 1407992555

  Member Of

  NPD member
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Andrew O Baddoo, M.D.

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1881653608

  Dialysis facility

  Care Compare affiliation Name & address match
• Anu Chaudhry, MD

  • Nephrology Physician
  • Rahway, NJ
  • NPI 1295709061

  Dialysis facility

  Care Compare affiliation Name & address match
• Robert Czyzewski, M.D.

  • Nephrology Physician
  • Edison, NJ
  • NPI 1558304782

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1033770458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081985",
            "telephone_number": "908-436-9201",
            "fax_number": "908-436-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINSON DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "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": "0751740",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmora Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elmora Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharissa Petit-Frere, APRN
• Ronald Petty, LSW
• Dai Phan, LCSW
• Lily Phan, MD
• Elizabeth Pineros, LCSW
• Leon Pirak, MD
• Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.
• Christopher Plaugic, LSW
• Alan Plauka, M.D.
• Jacob M. Plawner, DDS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Elizabeth, NJ
• Providers in Elizabeth, 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 Apr 8, 2025; 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.