NPIMap

Organization Active NPI

Nxstage Cleveland, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brunswick, OH
National Provider Identifier
1073936290
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NXSTAGE CLEVELAND, LLC
Practice address
1418 Town Center Blvd
A30
Brunswick, OH 44212-6335
Phone
(978) 530-4006
NPI assigned
Jan 23, 2014
Organization subpart
Yes
Parent organization
NXSTAGE KIDNEY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Michael O'Connell
Title
Vice President
Phone
(978) 530-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1418 Town Center Blvd
A30
Brunswick, OH 44212-6335

Mailing address

350 Merrimack St
Lawrence, MA 01843-1748
Phone (978) 530-4006

National Provider Directory

National Provider Directory

Locations

1418 Town Center Blvd
Ste A30
Brunswick, OH 44212
Phone (330) 558-8744

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1073936290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431748",
            "telephone_number": "978-530-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 TOWN CENTER BLVD",
            "address_2": "A30",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442126335",
            "telephone_number": "978-530-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NXSTAGE CLEVELAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NXSTAGE KIDNEY CARE",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "978-530-4006"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.