Organization Active NPI

Renal Care Group Maplewood, LLC

Doing business as Fresenius Medical Care Ironbound

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Newark, NJ
National Provider Identifier
1801024096
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RENAL CARE GROUP MAPLEWOOD, LLC
Doing business as
Fresenius Medical Care Ironbound
Practice address
248 South Street
Newark, NJ 07114-2911
Phone
(973) 344-0655
Fax
(973) 344-6966
NPI assigned
Jun 25, 2009
Last updated
Apr 9, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Mark Fawcett
Title
Treasurer
Phone
(781) 699-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

248 South Street
Newark, NJ 07114-2911

Mailing address

248 South Street
Newark, NJ 07114-2911
Phone (973) 344-0655

Other names 1

  • Fresenius Medical Care Ironbound Doing business as

National Provider Directory

National Provider Directory

Locations

248 South St
Newark, NJ 07114
Phone (973) 344-0655

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1801024096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 SOUTH STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071142911",
            "telephone_number": "973-344-0655",
            "fax_number": "973-344-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 SOUTH STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071142911",
            "telephone_number": "973-344-0655",
            "fax_number": "973-344-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE GROUP MAPLEWOOD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2009-06-25",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresenius Medical Care Ironbound",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.