Norwalk Dialysis Center LLC

Primary specialty

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

Legal business name

NORWALK DIALYSIS CENTER LLC

Practice address

23 Prospect St
Norwalk, CT 06850-3705

Phone

(203) 853-0010

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Anthony Derosa

Title

VP of Finance

Phone

(516) 422-7817

Specialties & licenses 1

Addresses

Other names 1

• CASSENA KIDNEY CARE AT NORWALK Doing business as

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1114663127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972083",
            "telephone_number": "516-422-7817",
            "fax_number": "631-792-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PROSPECT ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503705",
            "telephone_number": "203-853-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWALK DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2024-01-30",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "516-422-7817"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASSENA KIDNEY CARE AT NORWALK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CASSENA KIDNEY CARE AT NORWALK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Norwalk Family Dental LLC
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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Norwalk, CT
• Providers in Norwalk, CT by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.