Bayonne Renal Center, LLC

Primary specialty

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

License

22816 Issued in NJ

Legal business name

BAYONNE RENAL CENTER, LLC

Practice address

434 - 436 Broadway
Bayonne, NJ 07002-3628

Phone

(201) 436-1664

Fax

(201) 436-5133

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP, Licensure and Certification

Phone

(615) 341-6691

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bayonne Renal Center Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Listed as

DaVita BayonneCCN 312561

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Apr 23, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

21

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Renal Treatment Centers Northeast Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lehighton, PA
  • NPI 1598727372

  Member Of

  NPD member
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Affiliated clinicians 4

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

• Narender Goel, M.D.

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1710131537

  Dialysis facility

  Care Compare affiliation Name & address match
• Shabnam Gupta, M.D.

  • Nephrology Physician
  • Livingston, NJ
  • NPI 1427097039

  Dialysis facility

  Care Compare affiliation Name & address match
• Azam Mughni, M.D.

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1699199067

  Dialysis facility

  Care Compare affiliation Name & address match
• Robert Sipzner, M.D.

  • Nephrology Physician
  • Livingston, NJ
  • NPI 1467491589

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1831132547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L & C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6410",
            "fax_number": "888-662-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 - 436 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023628",
            "telephone_number": "201-436-1664",
            "fax_number": "201-436-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYONNE RENAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP, LICENSURE AND CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6691"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": "22816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8891605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayonne Renal Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayonne Renal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bayonne, NJ
• Providers in Bayonne, 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 Dec 17, 2025; 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.