Renal Center of Somerville, LLC

Primary specialty

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

License

23433 Issued in NJ

Legal business name

RENAL CENTER OF SOMERVILLE, LLC

Practice address

1 Route 206 North
Somerville, NJ 08876-4143

Phone

(908) 450-0396

Fax

(908) 450-0399

NPI assigned

Sep 5, 2006

Organization subpart

Yes

Parent organization

RENAL VENTURES MANAGMENT, LLCAs reported in NPPES

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

Authorized official

Name

Richard L Chatfield

Title

Chief Executive Officer

Phone

(303) 384-4090

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 2

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

• Montgomery Nephrology & Hypertension Associates

  • Nephrology Physician
  • Hillsborough, NJ
  • NPI 1194744284

  Member Of

  NPD member
• Renal Treatment Centers Northeast Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lehighton, PA
  • NPI 1598727372

  Member Of

  NPD member

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1124121405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 COLE BOULEVARD",
            "address_2": "STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013306",
            "telephone_number": "303-384-4000",
            "fax_number": "720-497-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROUTE 206 NORTH",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088764143",
            "telephone_number": "908-450-0396",
            "fax_number": "908-450-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CENTER OF SOMERVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENAL VENTURES MANAGMENT, LLC",
        "enumeration_date": "2006-09-05",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "CHATFIELD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "303-384-4090"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": "23433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088391",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joni Michelle Redlich, PT, DPT, PCS
• Jennifer Elizabeth Redmond, D.C.
• Regional Cancer Care Associates LLC
• Abdellatif Rejjal, MD
• Sheryl Ann Rementilla, PHARMD
• Andrea Nichole Reyes Gonzalez
• Joanne Skiba Reynolds, LCSW
• Eugene M Reynoso, DMD
• Rheumatology Center of New Jersey Inc.
• Richard P Charmoy DMD LLC

• All providers in Somerville, NJ
• 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 Mar 13, 2015; 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.