Dialyze Direct NJ

Primary specialty

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

Legal business name

DIALYZE DIRECT NJ

Practice address

3297 State Route 66 Ste 3
Neptune, NJ 07753-2763

Phone

(732) 806-9990

Fax

(732) 806-9995

NPI assigned

Jun 15, 2014

Last updated

Oct 21, 2015By 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. Joshua Rothenberg

Title

Officer

Phone

(732) 806-9990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306250659. Details of each certification follow.

• CCN 312719 End-stage renal disease facility · Active · Name & address match · Details

End-stage renal disease facility certification: CCN 312719

Legal name

DIALYZE DIRECT NJ

Certification status

Active

Provider type (POS)

End-stage renal disease facility

Participating since

Jul 11, 2024

Last certification

Aug 16, 2024

Ownership / control type

For Profit

Facility address

3297 State Route 66
Neptune, NJ 07753

Listed as

Dialyze Direct NeptuneCCN 312668

Ownership

Profit

Certified

Apr 10, 2017

Medicare certification status

Terminated Voluntary: merger or closure, Nov 10, 2022From the Provider of Services file

Dialysis stations

7

Locations

Affiliated clinicians 1

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

• Kalanie Mendis, M.D.

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1407053291

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1306250659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297 STATE ROUTE 66",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532762",
            "telephone_number": "732-806-9990",
            "fax_number": "732-806-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3297 STATE ROUTE 66 STE 3",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532763",
            "telephone_number": "732-806-9990",
            "fax_number": "732-806-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYZE DIRECT NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-15",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "ROTHENBERG",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "732-806-9990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott A Desimone, C.R.N.A.
• Alan D. Deutsch, D.O.
• Tina Dhebaria, D.O.
• Valeria M Di Stefano, M.D.
• Alexis Dial
• Heaher Dawn Diblasi
• Susan Elizabeth Dick, M.D.
• Alan Merrill Dietzek, M.D.
• Daniel Digiacomo
• Marielle Ann Dimartino, LSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Neptune, NJ
• Providers in Neptune, 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 Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.