Active NPI
Renal Center of Monroe, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Monroe Township, NJ
National Provider Identifier
1174904643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RENAL CENTER OF MONROE, LLC
- Practice address
- 300 Overlook Dr
BLDG C
Monroe Township, NJ 08831-5589 - Phone
- (609) 642-8124
- Fax
- (609) 642-8128
- NPI assigned
- Jun 10, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John D Winstel
- Title
- Chief Accounting Officer
- Phone
- (253) 733-4501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
300 Overlook Dr
BLDG C
Monroe Township, NJ 08831-5589
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 341-6410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0636061 | Medicaid | NJ |
Other names 1
- Renal Center of Monroe
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lehighton, PA
- NPI 1598727372
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Burlington, WA
- NPI 1932595584
Member Of
Locations
300 Overlook Dr
Monroe Township, NJ 08831
Phone (609) 409-1363
300 Overlook Dr
Bldg C
Monroe Township, NJ 08831
Phone (609) 642-8124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614038400000",
"number": "1174904643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-341-6410",
"fax_number": "888-662-8259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OVERLOOK DR",
"address_2": "BLDG C",
"city": "MONROE TOWNSHIP",
"state": "NJ",
"postal_code": "088315589",
"telephone_number": "609-642-8124",
"fax_number": "609-642-8128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL CENTER OF MONROE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-10",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A",
"authorized_official_last_name": "WINSTEL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
"authorized_official_telephone_number": "253-733-4501"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0636061",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Renal Center of Monroe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monroe Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.