Jersey Dialysis Centers, LLC

Primary specialty

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

Legal business name

JERSEY DIALYSIS CENTERS, LLC

Doing business as

Jersey Dialysis Centers

Practice address

165 Fairfield Ave
West Caldwell, NJ 07006-6414

Phone

(973) 618-5620

Fax

(973) 226-5993

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Richard I Pineles

Title

President

Phone

(201) 518-2770

Specialties & licenses 1

Addresses

Other names 1

• Jersey Dialysis Centers Doing business as

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1144564063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 FAIRFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066414",
            "telephone_number": "973-618-5620",
            "fax_number": "973-226-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 FAIRFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066414",
            "telephone_number": "973-618-5620",
            "fax_number": "973-226-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY DIALYSIS CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "PINELES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-518-2770",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "Jersey Dialysis Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Nicole Hreniuk, DPT
• In Her Image- West Caldwell, LLC
• Intensive Therapeutics, Inc
• David Iosebashvili, O.D.
• Ulrick Jean-Pierre
• Jewish Service for the Developmentally Disabled of Metrowest, Inc.
• Jewish Service for the Developmentally Disabled of Metrowest, Inc.
• Marcela K Jimenez
• Tiffany Lynn Johnson
• Christopher M Jones, DDS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in West Caldwell, NJ
• Providers in West Caldwell, 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 Nov 15, 2012; 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.