Roosevelt Dialysis LLC

Primary specialty

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

Legal business name

ROOSEVELT DIALYSIS LLC

Doing business as

Lexington Renal Care

Practice address

7800 Bustleton Ave
Philadelphia, PA 19152-3812

Phone

(215) 722-2300

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Mindee Posen

Title

Medicare Administration Officer

Phone

(845) 825-2217

Specialties & licenses 1

Addresses

Other names 1

• Lexington Renal Care Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Lexington Renal Care RooseveltCCN 732520

Ownership

Profit

Certified

Apr 14, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

18

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Arpitha M Reddy, MD

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1740238187

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1184301269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88 STE 301",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "215-722-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523812",
            "telephone_number": "215-722-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "POSEN",
        "authorized_official_first_name": "MINDEE",
        "authorized_official_title_or_position": "MEDICARE ADMINISTRATION OFFICER",
        "authorized_official_telephone_number": "845-825-2217"
    },
    "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": "Lexington Renal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joann Rooney, RN
• Wanda K Rooney, LDN
• Carly M. Roop, RD, LDN
• Hannah Roop
• Kristina D Roose, LCSW
• Roosevelt Emergency Physicians
• Roosevelt Emergency Physicians
• Roosevelt Family Medical Center, Inc.
• Roosevelt Pharmacy LLC (Roosevelt Pharmacy)
• Root Canal Assoc, P.C.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.

Verify at the official NPI Registry.