Dialysis Center of Mountainside LLC

Primary specialty

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

Legal business name

DIALYSIS CENTER OF MOUNTAINSIDE LLC

Practice address

20 Sussex Avenue
East Orange, NJ 07018-4228

Phone

(973) 266-1093

Fax

(973) 266-1094

NPI assigned

Jul 2, 2018

Organization subpart

No

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

Authorized official

Name

Sara Anne Brady

Title

Chief Nursing Officer

Phone

(208) 371-7878

Specialties & licenses 1

Addresses

Other names 1

• DIALYSIS CENTER OF EAST ORANGE Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Innovative Renal Care East OrangeCCN 312690

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Feb 13, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

13

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

CLIA laboratory certificates

Affiliated clinicians 2

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

• Lisette Helene Casagrande, M.D.

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1912166877

  Dialysis facility

  Care Compare affiliation Name & address match
• Naga Malleswari Komati, MD

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1902014525

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1629564653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUSSEX AVENUE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070184228",
            "telephone_number": "973-266-1093",
            "fax_number": "973-266-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SUSSEX AVENUE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070184228",
            "telephone_number": "973-266-1093",
            "fax_number": "973-266-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CENTER OF MOUNTAINSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "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": "DIALYSIS CENTER OF EAST ORANGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jignesh A Desai, PHARMACIST
• Minaxi I Desai, M.D.
• Rikesh Desai, PHARMD
• Renita Devilla, RN
• Diagnostic Medical Consultants Inc.
• Mateo Diaz
• Christian Patrick Didonna, PA-C
• Jatirah A Diggs
• Direct Interventional Access, LLC
• Happiness Anwuli Diru, PA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in East Orange, NJ
• Providers in East Orange, 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 19, 2026; 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.