Hamilton Park Renal Dialysis Center, Inc.

Primary specialty

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

License

23196 Issued in NJ

Legal business name

HAMILTON PARK RENAL DIALYSIS CENTER, INC.

Practice address

328 9TH St
Jersey City, NJ 07302-1502

Phone

(201) 516-8564

Fax

(201) 516-8586

NPI assigned

Jul 1, 2005

Last updated

May 4, 2012By 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

Mr. Alan Polevoy

Title

Controller

Phone

(201) 516-8564

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hamilton Park Renal Dialysis Center Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1255338455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 9TH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021502",
            "telephone_number": "201-516-8564",
            "fax_number": "201-516-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 9TH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021502",
            "telephone_number": "201-516-8564",
            "fax_number": "201-516-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON PARK RENAL DIALYSIS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "POLEVOY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "201-516-8564",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": "23196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055492",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Park Renal Dialysis Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Allaeldin Hamed
• Muneer Hameer, M.D.
• Hamilton Park Atrium Opco, LLC (Alaris Health at The Atrium)
• Hamilton Park Dialysis Opco, LLC (Alaris Health Dialysis at Hamilton Park)
• Hamilton Park Health Care Center
• Caroline Pyle Hamilton
• Nancy Kim Hammell, DPT
• Keisha Alix Hampden
• Seong Ho Han, DMD, MS
• Ramy Medhat Wahba Hana, RPH

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jersey City, NJ
• Providers in Jersey City, 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 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.