Alaris Health Dialysis at the Chateau, LLC

Primary specialty

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

Legal business name

ALARIS HEALTH DIALYSIS AT THE CHATEAU, LLC

Doing business as

Alaris Health Dialysis at The Chateau

Practice address

96 Parkway
Rochelle Park, NJ 07662-4200

Phone

(718) 567-0400

NPI assigned

Jun 9, 2017

Organization subpart

No

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

Authorized official

Name

Sam Stern

Title

Cfo

Phone

(718) 567-9459

Specialties & licenses 1

Addresses

Other names 1

• Alaris Health Dialysis at The Chateau Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Alaris Health at ChateauCCN 312701

Overall star rating

1.0 of 5

Ownership

Profit

Certified

May 8, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

18

Affiliated clinicians 1

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

• Anuradha R Konkesa, MD

  • Nephrology Physician
  • Wayne, NJ
  • NPI 1013908268

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1770012023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST STE 220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 PARKWAY",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624200",
            "telephone_number": "718-567-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALARIS HEALTH DIALYSIS AT THE CHATEAU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-567-9459"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaris Health Dialysis at The Chateau",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rochelle Park, NJ
• Providers in Rochelle Park, 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 Jun 9, 2017; 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.