Hamilton Park Dialysis Opco, LLC

Primary specialty

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

License

23196 Issued in NJ

Legal business name

HAMILTON PARK DIALYSIS OPCO, LLC

Practice address

328 9TH St
Jersey City, NJ 07302-1502

Phone

(201) 516-7700

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Sam Stern

Title

Cfo

Phone

(718) 567-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alaris Health Dialysis at Hamilton Park Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Alaris Health Dialysis at Hamilton ParkCCN 312580

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Dec 15, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

21

Affiliated clinicians 7

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

• Narender Goel, M.D.

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1710131537

  Dialysis facility

  Care Compare affiliation Name & address match
• Bassam M Haddad, M.D

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1790784510

  Dialysis facility

  Care Compare affiliation Name & address match
• Danny B Haddad, MD

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1235351297

  Dialysis facility

  Care Compare affiliation Name & address match
• Vasudevarao Jonnalagadda, MD

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1669470308

  Dialysis facility

  Care Compare affiliation Name & address match
• Meghan Lacovara, MD

  • Hospitalist Physician
  • Browns Mills, NJ
  • NPI 1396192480

  Dialysis facility

  Care Compare affiliation Name & address match
• John D. Madigan, D.O.

  • Nephrology Physician
  • Millburn, NJ
  • NPI 1427239854

  Dialysis facility

  Care Compare affiliation Name & address match
• Azam Mughni, M.D.

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1699199067

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1326411554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST",
            "address_2": "SUITE 220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644",
            "telephone_number": "718-567-0400",
            "fax_number": "718-567-0600"
        },
        {
            "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": "201-516-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON PARK DIALYSIS OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-567-0400"
    },
    "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": "Alaris Health Dialysis at Hamilton Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gamal Y Hamdan
• Sara Hamdan, RDN
• Allaeldin Hamed
• Muneer Hameer, M.D.
• Hamilton Park Atrium Opco, LLC
• Hamilton Park Health Care Center
• Hamilton Park Renal Dialysis Center, Inc.
• Caroline Pyle Hamilton
• Nancy Kim Hammell, DPT
• Keisha Alix Hampden

• 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 Nov 10, 2015; 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.