Active NPI
Kidney Life, LLC
Doing business as New Brunswick Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 24476
- Legal business name
- KIDNEY LIFE, LLC
- Doing business as
- New Brunswick Dialysis
- Practice address
- 303 George St
Ste G-8
New Brunswick, NJ 08901-2020 - Phone
- (732) 937-4791
- Fax
- (732) 937-4795
- NPI assigned
- Oct 6, 2011
- Last updated
- May 1, 2024
- 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
- Samuel Wey
- Title
- VP, Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 24476 | NJ | Primary |
Addresses
Primary practice location
303 George St
Ste G-8
New Brunswick, NJ 08901-2020
Mailing address
5200 Virginia Way
L & C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0966398 | Medicaid | NJ |
Other names 1
- New Brunswick Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230313001294 | NJ | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 2769665207 | Practice locations: New Bruswick, NJ |
Other NPIs with the same Medicare PAC ID 23
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Neptune Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Neptune, NJ
- NPI 1063446912
2769665207
-
dba Woodbridge Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Woodbridge, NJ
- NPI 1093054629
2769665207
-
dba Hamilton Street Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Somerset, NJ
- NPI 1124568563
2769665207
-
dba Old Bridge Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Old Bridge, NJ
- NPI 1164451852
2769665207
-
dba West Orange Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- West Orange, NJ
- NPI 1295070811
2769665207
-
dba Monroe Township Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Monroe Township, NJ
- NPI 1407243751
2769665207
-
dba Middletown Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Red Bank, NJ
- NPI 1427082361
2769665207
-
dba Summit Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mountainside, NJ
- NPI 1437189867
2769665207
-
dba East Orange Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- East Orange, NJ
- NPI 1548299373
2769665207
-
dba Edison Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Edison, NJ
- NPI 1548299381
2769665207
-
dba Atlantic Artificial Kidney Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Eatontown, NJ
- NPI 1578593927
2769665207
-
dba Sayreville Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Parlin, NJ
- NPI 1598313702
2769665207
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita New Brunswick Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Dec 31, 2012
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 19
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2034536 | New Brunswick Dialysis | Certificate of waiver | Dec 27, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Kidney Life LLC
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Neptune Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Neptune, NJ
- NPI 1063446912
-
dba Woodbridge Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Woodbridge, NJ
- NPI 1093054629
-
dba Hamilton Street Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Somerset, NJ
- NPI 1124568563
-
dba Old Bridge Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Old Bridge, NJ
- NPI 1164451852
-
dba West Orange Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- West Orange, NJ
- NPI 1295070811
-
dba Monroe Township Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Monroe Township, NJ
- NPI 1407243751
-
dba Middletown Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Red Bank, NJ
- NPI 1427082361
-
dba Summit Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mountainside, NJ
- NPI 1437189867
-
dba East Orange Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- East Orange, NJ
- NPI 1548299373
-
dba Edison Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Edison, NJ
- NPI 1548299381
-
dba Atlantic Artificial Kidney Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Eatontown, NJ
- NPI 1578593927
-
dba Sayreville Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Parlin, NJ
- NPI 1598313702
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba TRC Children's Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1396704508
Member Of
Locations
303 George St
Bsmt G-8
New Brunswick, NJ 08901
Phone (732) 937-4791
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714521600000",
"number": "1194009274",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 GEORGE ST",
"address_2": "STE G-8",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012020",
"telephone_number": "732-937-4791",
"fax_number": "732-937-4795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEY LIFE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-06",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NJ",
"license": "24476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0966398",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Brunswick Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "New Brunswick Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.