Active NPI
Wellbound of Mercer LLC
Doing business as WellBound of Mercer
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hamilton, NJ
National Provider Identifier
1275681348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- WELLBOUND OF MERCER LLC
- Doing business as
- WellBound of Mercer
- Practice address
- 3836 Quakerbridge Rd
Suite 208
Hamilton, NJ 08619-1006 - Phone
- (609) 586-5001
- Fax
- (609) 586-1862
- NPI assigned
- Jan 8, 2007
- Last updated
- Dec 29, 2016
- Organization subpart
- Yes
- Parent organization
- WELLBOUND LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan L Del Bene
- Title
- Secretary/Cfo
- Phone
- (650) 404-3618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
3836 Quakerbridge Rd
Suite 208
Hamilton, NJ 08619-1006
Mailing address
300 Santana Row
Suite 300
San Jose, CA 95128-2423
Phone (650) 404-3657
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192821 | Medicaid | NJ | |
| 24145 | Other | NJ | STATE OF NEW JERSEY |
Other names 1
- WellBound of Mercer
National Provider Directory
National Provider Directory- Part of
- Wellbound LLC
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
3836 Quakerbridge Rd
Ste 300
Hamilton, NJ 08619
Phone (609) 586-5001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482969600000",
"number": "1275681348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SANTANA ROW",
"address_2": "SUITE 300",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282423",
"telephone_number": "650-404-3657",
"fax_number": "650-625-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3836 QUAKERBRIDGE RD",
"address_2": "SUITE 208",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086191006",
"telephone_number": "609-586-5001",
"fax_number": "609-586-1862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLBOUND OF MERCER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WELLBOUND LLC",
"enumeration_date": "2007-01-08",
"last_updated": "2016-12-29",
"status": "A",
"authorized_official_last_name": "DEL BENE",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SECRETARY/CFO",
"authorized_official_telephone_number": "650-404-3618"
},
"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": "192821",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEW JERSEY",
"identifier": "24145",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WellBound of Mercer",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.