Organization Active NPI

Dialyze Direct TX LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1720478944
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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

Updated by the provider on Oct 21, 2015

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20150216000715 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 2466777453 Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.