Vistacare Continuum Services, LLC

Primary specialty

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

Legal business name

VISTACARE CONTINUUM SERVICES, LLC

Doing business as

Vistacare Dialysis Center

Practice address

300 Broadway
Newark, NJ 07104-8000

Phone

(973) 484-4222

NPI assigned

Oct 9, 2017

Last updated

Oct 9, 2017By 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

Boruch Kleinman

Title

MBR

Phone

(973) 484-4222

Specialties & licenses 1

Addresses

Other names 1

• Vistacare Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Vistacare Dialysis CenterCCN 312711

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Feb 25, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

27

Locations

Affiliated clinicians 5

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

• Manickam Ganesh, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • West Orange, NJ
  • NPI 1962419838

  Dialysis facility

  Care Compare affiliation Name & address match
• Odler Jeanlouie, MD

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1881655686

  Dialysis facility

  Care Compare affiliation Name & address match
• Joshua Michael Kaplan, M.D.

  • Nephrology Physician
  • Newark, NJ
  • NPI 1407881287

  Dialysis facility

  Care Compare affiliation Name & address match
• Roger Keshav, M.D.

  • Nephrology Physician
  • Belleville, NJ
  • NPI 1942525316

  Dialysis facility

  Care Compare affiliation Name & address match
• Padmaja Kodali, MD

  • Nephrology Physician
  • Maplewood, NJ
  • NPI 1790747764

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1518477199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071048000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071048000",
            "telephone_number": "973-484-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTACARE CONTINUUM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "KLEINMAN",
        "authorized_official_first_name": "BORUCH",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "973-484-4222"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vistacare Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alreema Vining, CD
• Yelena Vinokur, L.AC
• Vip Care, Inc.
• Jujhaar Virk, DMD
• Visiting Nurse Association of Central Jersey, Inc.
• Vistacare LLC (New Vista Nursing & Rehab)
• Gautam K Visveswaran, M.D.
• Divya Viswanathan, MD
• Rohan Viswanathan, MD
• Richard M Vitali, PA-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Newark, NJ
• Providers in Newark, 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 9, 2017; 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.