Nestori Dialysis, LLC

Primary specialty

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

Legal business name

NESTORI DIALYSIS, LLC

Doing business as

Laurel Park Dialysis

Practice address

7140 Contee Rd Ste 1000
Laurel, MD 20707-9531

Phone

(202) 853-0207

Fax

(240) 209-4450

NPI assigned

Dec 14, 2023

Last updated

Aug 3, 2026By 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

Samuel Wey

Title

Senior VP Licensure & Certification

Phone

(800) 467-4736

Specialties & licenses 1

Addresses

Other names 1

• Laurel Park Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538937065. Details of each certification follow.

• CCN 212759 End-stage renal disease facility · Active · Name & address match · Details

End-stage renal disease facility certification: CCN 212759

Legal name

LAUREL PARK DIALYSIS

Certification status

Active

Provider type (POS)

End-stage renal disease facility

Participating since

Nov 24, 2025

Last certification

Nov 24, 2025

Facility address

7140 Contee Rd Ste 100
Laurel, MD 20707

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Renal Treatment Centers Mid Atlantic Inc

  dba Grovepark Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jackson, GA
  • NPI 1558330522

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1538937065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 CONTEE RD STE 1000",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079531",
            "telephone_number": "202-853-0207",
            "fax_number": "240-209-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESTORI DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "SENIOR VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "800-467-4736"
    },
    "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": "Laurel Park Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laurel Park Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Laurel, MD
• Providers in Laurel, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.