Universal Dialysis Group,Inc.

Primary specialty

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

Legal business name

UNIVERSAL DIALYSIS GROUP,INC.

Practice address

290 Chestnut St
Newark, NJ 07105-1559

Phone

(845) 659-7478

NPI assigned

Nov 22, 2011

Last updated

Jan 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole K. Terry

Title

Ceo

Phone

(845) 659-7478

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326499200000",
    "number": "1144597824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PARK PL",
            "address_2": "SUITE 601",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025511",
            "telephone_number": "973-353-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CHESTNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051559",
            "telephone_number": "845-659-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL DIALYSIS GROUP,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2012-01-14",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-659-7478",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Drugs RX LLC
• United Hospice of New Jersey LTD Liability Company
• Unity Global Agency LLC
• Univ of Med & Dent of NJ
• Universal Clinic, LLC (UIC Medical Centre)
• Universal Heritage Company LLC (Live Well Pharmacy)
• University Health Partnership (NJ Med, PC)
• University Health Professions
• University Heights Charter School
• University Heights Specialty Pharmacy Corp (Drug Worx Pharmacy)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Newark, NJ
• Providers in Newark, 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 Jan 14, 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.