Kidney Center of Vineland LLC

Primary specialty

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

Legal business name

KIDNEY CENTER OF VINELAND LLC

Practice address

1318 S Main Rd
Vineland, NJ 08360-6516

Phone

(856) 575-4742

Fax

(856) 451-5269

NPI assigned

Jul 4, 2006

Last updated

May 30, 2008By 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

Mrs. Beverly Ediss

Title

Government Billing Supervisor

Phone

(856) 575-4742

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

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

• Inspira Medical Centers, Inc.

  dba Inspira Health Pharmacy - Vineland

  • Community/Retail Pharmacy
  • Vineland, NJ
  • NPI 1962048231

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin George Barber, D.O.

  • Nephrology Physician
  • Vineland, NJ
  • NPI 1861461196
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1619907417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 IRVING AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022123",
            "telephone_number": "856-575-4742",
            "fax_number": "856-451-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 S MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606516",
            "telephone_number": "856-575-4742",
            "fax_number": "856-451-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CENTER OF VINELAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "EDISS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "GOVERNMENT BILLING SUPERVISOR",
        "authorized_official_telephone_number": "856-575-4742",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004090",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Marie Ketschek
• Key Advocates of Tomorrow LLC
• Sara Adel Khalil, M.D.
• Muhammad Khubaib Gul Khan, M.B.B.S
• Shizza Khan, MD
• Stephen Kielbasa
• Izhane Kiett
• Anjali Kikkisetti, DO
• Christin Kim, PHARMD
• Heejung Kim

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Vineland, NJ
• Providers in Vineland, 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 May 30, 2008; 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.