Active NPI
Dialyze Direct TX LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sugar Land, TX
National Provider Identifier
1720478944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DIALYZE DIRECT TX LLC
- Practice address
- 16545 Southwest Fwy
Ste 275
Sugar Land, TX 77479-2891 - Phone
- (832) 944-5040
- Fax
- (832) 944-5043
- NPI assigned
- Jan 26, 2015
- 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
- Authorized Agent
- Phone
- (732) 806-9968
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | TX | ||
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
16545 Southwest Fwy
Ste 275
Sugar Land, TX 77479-2891
Mailing address
1575 50TH St
Ste 401
Brooklyn, NY 11219-3769
Phone (832) 944-5040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150216000715 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 2466777453 | Practice locations: Sugar Land, TX |
National Provider Directory
National Provider DirectoryLocations
16545 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 240-8374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445385600000",
"number": "1720478944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 50TH ST",
"address_2": "STE 401",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193769",
"telephone_number": "832-944-5040",
"fax_number": "732-806-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16545 SOUTHWEST FWY",
"address_2": "STE 275",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774792891",
"telephone_number": "832-944-5040",
"fax_number": "832-944-5043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYZE DIRECT TX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-26",
"last_updated": "2015-10-21",
"status": "A",
"authorized_official_last_name": "ROTHENBERG",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "732-806-9968"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.