Physicians Dialysis at Water'S Edge

Primary specialty

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

Legal business name

PHYSICIANS DIALYSIS AT WATER'S EDGE

Practice address

512 Union St
Trenton, NJ 08611-2800

Phone

(305) 651-3261

NPI assigned

Sep 5, 2019

Organization subpart

No

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

Authorized official

Name

Steven Jeger

Title

Vice President

Phone

(305) 651-3261

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1093364796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19559 NE 10TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331793501",
            "telephone_number": "305-651-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 UNION ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086112800",
            "telephone_number": "305-651-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS DIALYSIS AT WATER'S EDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "JEGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-651-3261"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa C. Persing, M.A., L.P.C.
• Beth Ann Peterson, LPC
• Christina Pham, LSW
• Philadelphia Health & Education Corp
• Tamasina Phillips
• Physiomove Physical Therapy NJ
• Nicole Lynn Picciolo, PA-C
• Ada Ryan Picco, MA
• Karalee Pieluc, LCSW
• Sophia Pierre

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Trenton, NJ
• Providers in Trenton, 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 May 11, 2020; 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.