Wellesley Dialysis LLC

Primary specialty

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

Legal business name

WELLESLEY DIALYSIS LLC

Practice address

195 Worcester St
Wellesley, MA 02481-5568

Phone

(781) 431-1414

Fax

(781) 431-1144

NPI assigned

Jun 27, 2011

Last updated

Jul 17, 2026By 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

Sara Anne Brady

Title

Chief Nursing Officer

Phone

(208) 371-7878

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heekyeong Ma, NP-C

  • Nurse Practitioner
  • Norfolk, MA
  • NPI 1649949777
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1184910275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815568",
            "telephone_number": "781-431-1414",
            "fax_number": "781-431-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815568",
            "telephone_number": "781-431-1414",
            "fax_number": "781-431-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "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": "110091455A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellesley Concierge PT, PLLC
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• Wellesley Counseling and Wellness, LLC
• Wellesley Dental Arts LLC
• Wellesley Dermatology Care LLC
• Wellesley Endodontics PC
• Wellesley Endodontics, Inc.
• Wellesley Family Care Associates, PC
• Wellesley Family Dental
• Wellesley Hills Eye Care

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wellesley, MA
• Providers in Wellesley, MA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.