Active NPI
Northern New Jersey Dialysis, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Englewood, NJ
National Provider Identifier
1124040019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 22236
- Legal business name
- NORTHERN NEW JERSEY DIALYSIS, LLC
- Practice address
- 75 W Forest Ave
Englewood, NJ 07631-4000 - Phone
- (201) 503-1401
- Fax
- (201) 503-1406
- NPI assigned
- Jul 23, 2006
- Organization subpart
- Yes
- Parent organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Wright
- Title
- Vice President
- Phone
- (781) 676-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 22236 | NJ | Primary |
Addresses
Primary practice location
75 W Forest Ave
Englewood, NJ 07631-4000
Mailing address
75 W Forest Ave
Englewood, NJ 07631-4000
Phone (201) 503-1401
Other practice location 1
350 Engle St Fl Ctr1
Englewood, NJ 07631-1808
Phone (201) 503-1401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8228604 | Medicaid | NJ |
Other names 1
- ENGLEWOOD DIALYSIS CENTER
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031113000343 | NJ | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1254243934 | Practice locations: Englewood, NJ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kenvil, NJ
- NPI 1033131925
1254243934
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- FMC Englewood
- Overall star rating
- Ownership
- Profit
- Certified
- Jan 8, 2001
- Medicare certification status
- Active
- Chain
- Fresenius Medical Care
- Dialysis stations
- 21
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kenvil, NJ
- NPI 1033131925
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bristol, TN
- NPI 1477570117
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wilmington, DE
- NPI 1679677546
Member Of
Locations
350 Engle St
Fl CTR1
Englewood, NJ 07631
Phone (201) 503-1401
75 W Forest Ave
Englewood, NJ 07631
Phone (201) 503-1401
Practitioners & affiliated clinicians
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1124040019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 W FOREST AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314000",
"telephone_number": "201-503-1401",
"fax_number": "201-503-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 W FOREST AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314000",
"telephone_number": "201-503-1401",
"fax_number": "201-503-1406"
}
],
"practiceLocations": [
{
"address_1": "350 Engle St Fl Ctr1",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "NJ",
"postal_code": "076311808",
"country_code": "US",
"telephone_number": "201-503-1401",
"fax_number": "201-503-1406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTHERN NEW JERSEY DIALYSIS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2006-07-23",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "781-676-5200"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NJ",
"license": "22236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8228604",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "ENGLEWOOD DIALYSIS CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Englewood, NJ
- North Jersey Medical & Geriatric Associates LLC
- North Jersey Medical and Geriatrics Associates
- North Jersey Whole Health Center, LLC
- Northeast Anesthesia and Pain Management, LLC
- Northern Jersey Plastic Surgery Center, LLC
- Northern Valley Anesthesiology, P.a.
- Northern Valley ENT & Facial Plastics
- Northern Valley Oba, PA
- Maria Camille B Nunez, LCSW
- Nuovo Psychiatry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.