St. Raphael Dialysis Center Partnership

Primary specialty

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

Legal business name

ST. RAPHAEL DIALYSIS CENTER PARTNERSHIP

Practice address

50 Commerce Park
New Haven, CT 06511

Phone

(203) 876-1398

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Mark Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• MILFORD DIALYSIS CENTER Doing business as

Member of 2

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

• Renal Research Institute, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Haven, CT
  • NPI 1124037189

  Member Of

  NPD member
• Beth Israel Medical Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • New York, NY
  • NPI 1770951204

  Member Of

  NPD member

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1619987377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COMMERCE PARK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603565",
            "telephone_number": "203-876-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COMMERCE PARK",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-876-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. RAPHAEL DIALYSIS CENTER PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "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": "MILFORD DIALYSIS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle N St Pierre, LCSW
• St. Francis Home for Children Inc.
• Susan St. Jacques, PA-C
• Brad St. Martin, MD
• St. Raphael Dialysis Center Partnership
• Tayisha Rebecca St. Vil, WHNP-BC
• Amanda Lee Staak, PHARM D
• Jennifer Lyn Stabile, APRN
• Andrew David Stack, O.D.
• Gary E Stack, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Haven, CT
• Providers in New Haven, CT by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.