Dialysis Center of West Orange LLC

Primary specialty

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

Legal business name

DIALYSIS CENTER OF WEST ORANGE LLC

Practice address

101 Old Short Hills Rd
Suite 120
West Orange, NJ 07052-1080

Phone

(973) 736-8300

Fax

(973) 736-8320

NPI assigned

Jun 11, 2013

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 NJ

Enrollment records 1

Listed as

Innovative Renal Care West OrangeCCN 312630

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Dec 31, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

16

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 3

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

• Luigi Vittorio Bonomini, M.D.

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1992771349

  Dialysis facility

  Care Compare affiliation Name & address match
• Lisette Helene Casagrande, M.D.

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1912166877

  Dialysis facility

  Care Compare affiliation Name & address match
• Nita K Shah, M.D.

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1538139399

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1235577305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "SUITE 120",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521080",
            "telephone_number": "973-736-8300",
            "fax_number": "973-736-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "SUITE 120",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521080",
            "telephone_number": "973-736-8300",
            "fax_number": "973-736-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CENTER OF WEST ORANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "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": "0392316",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Developmental Disabilities Association of NJ Inc.
• Pooja Devi, MD
• Yeshuschandra R Dhaibar, MD
• Diabetic Foot & Ankle Centers of NJ LLC
• Diagnostic & Clinical Cardiology, PA
• Ozzie Alexander Diaz, MS, ATC
• Erik Dienna, M.D.
• Simon E Dike
• Joseph Dimaria
• Tsambikos Anastasiou Dimitrakis, PT

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in West Orange, NJ
• Providers in West Orange, 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 May 19, 2026; 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.