Organization Active NPI

Nxstage Orlando North, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Casselberry, FL
National Provider Identifier
1477957835
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NXSTAGE ORLANDO NORTH, LLC
Practice address
174 State Road 436 Unit D102
Casselberry, FL 32707-4203
Phone
(407) 754-0338
Fax
(407) 260-5901
NPI assigned
Oct 14, 2014
Organization subpart
Yes
Parent organization
NXSTAGE KIDNEY CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Mr. Jeff Murray
Title
Director of Operations
Phone
(978) 530-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

174 State Road 436 Unit D102
Casselberry, FL 32707-4203

Mailing address

350 Merrimack St
Lawrence, MA 01843-1748
Phone (978) 530-4006

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1477957835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431748",
            "telephone_number": "978-530-4006",
            "fax_number": "978-450-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 STATE ROAD 436 UNIT D102",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074203",
            "telephone_number": "407-754-0338",
            "fax_number": "407-260-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NXSTAGE ORLANDO NORTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NXSTAGE KIDNEY CARE, INC.",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "978-530-4006",
        "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": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.