Dialcare Dialysis LLC

Primary specialty

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

Legal business name

DIALCARE DIALYSIS LLC

Practice address

105 Metzler St
Johnstown, PA 15904-3124

Phone

(814) 262-7560

Fax

(814) 262-7563

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. George J Frem, MD

Title

Ceo

Phone

(814) 262-7560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1518506989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 METZLER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043124",
            "telephone_number": "814-262-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 METZLER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043124",
            "telephone_number": "814-262-7560",
            "fax_number": "814-262-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALCARE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "FREM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-262-7560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Devineni, CRNP
• Rajsekhar Devineni, MD
• Mario Deyulis, D.O.
• Anuradha M Dharbhamulla, M.D.
• Venkata R Dharbhamulla, MD
• Christa Marie Diaz, MOT, OTR/L
• Sally Dick, MD
• Marie Elizabeth Dilascio, FNP-C
• William Dill
• Emily Diloreto

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Johnstown, PA
• Providers in Johnstown, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.