Active NPI
Dialyze Direct PA LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Exton, PA
National Provider Identifier
1669873568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DIALYZE DIRECT PA LLC
- Practice address
- 495 Thomas Jones Way
Exton, PA 19341-2553 - Phone
- (732) 806-9990
- NPI assigned
- Sep 10, 2014
- Last updated
- Sep 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Rothenberg
- Title
- Manager
- Phone
- (732) 806-9968
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
495 Thomas Jones Way
Exton, PA 19341-2553
Mailing address
1575 50TH St Ste 401
Brooklyn, NY 11219-3769
Phone (718) 806-9990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141111001545 | PA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 5092937888 | Practice locations: Exton, PA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Philadelphia, PA
- NPI 1336883016
5092937888
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Dialyze Direct PA
- Overall star rating
- Ownership
- Profit
- Certified
- Apr 12, 2018
- Medicare certification status
- Active
- Chain
- Other
- Dialysis stations
- 1
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Tax ID family
- Dialyze Direct
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Philadelphia, PA
- NPI 1336883016
Locations
2275 W County Line Rd
#6212
Jackson, NJ 08527
Practitioners & affiliated clinicians
Affiliated clinicians 17
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410307200000",
"number": "1669873568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 50TH ST STE 401",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193769",
"telephone_number": "718-806-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 THOMAS JONES WAY",
"city": "EXTON",
"state": "PA",
"postal_code": "193412553",
"telephone_number": "732-806-9990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYZE DIRECT PA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-10",
"last_updated": "2014-09-10",
"status": "A",
"authorized_official_last_name": "ROTHENBERG",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "732-806-9968"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.