Active NPI
Nxstage Orlando North, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Casselberry, FL
National Provider Identifier
1477957835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.