Dialysis Clinic Inc.

Primary specialty

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

License

22701 Issued in NJ

Legal business name

DIALYSIS CLINIC INC.

Practice address

88 Princeton Hightstown R
Princeton, NJ 08550

Phone

(609) 897-9777

Fax

(609) 879-0357

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1184644593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PRINCETON HIGHTSTOWN R",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08550",
            "telephone_number": "609-897-9777",
            "fax_number": "609-897-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PRINCETON HIGHTSTOWN R",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08550",
            "telephone_number": "609-897-9777",
            "fax_number": "609-879-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": "22701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8629200",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8629200",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Desimone, LPC
• Annegret Dettwiler, P.T., ED.D.
• Paul Jan Deutsch, M.D.
• Roberta Shakun Devery, MS, OTR
• Maria I Deveza-Siochi, PT
• Stephanie Dicandia, MA, LPC, NCC
• Andrea Louise Didisheim, PTA
• Digestive Disease Center, PA
• Suzy Lyn Diiorio, MS/CCC-SLP
• Deborah Dimeglio-Unfried, OD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Princeton, NJ
• Providers in Princeton, 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 Oct 4, 2023; 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.