Nutley Kidney Clinic LLC

Primary specialty

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

Legal business name

NUTLEY KIDNEY CLINIC LLC

Practice address

500 Cortlandt St
Belleville, NJ 07109-3331

Phone

(973) 450-7560

Fax

(973) 450-7568

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Ramesh Sarva

Title

President

Phone

(718) 268-4933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1194943878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10917 72ND RD",
            "address_2": "SUITE 6R",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755336",
            "telephone_number": "718-268-4933",
            "fax_number": "718-575-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CORTLANDT ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093331",
            "telephone_number": "973-450-7560",
            "fax_number": "973-450-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTLEY KIDNEY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "SARVA",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-268-4933"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Belleville, NJ
• Providers in Belleville, 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 Jun 29, 2010; 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.