Fresenius Medical Care Fairview Dialysis, LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fairview, NJ
NPI 1831413079 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1831413079
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- FRESENIUS MEDICAL CARE FAIRVIEW DIALYSIS, LLC
- Practice address
- 155 Bergen Blvd
Fairview, NJ 07022-1906 - Phone
- (201) 941-6601
- Fax
- (201) 941-6605
- NPI assigned
- Mar 17, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
- Name
- Denise Wright
- Title
- Vice President
- Phone
- (781) 676-5200
Corporate family (same tax ID) 1
Member of 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101109000137 | NJ | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 3072708734 | Practice locations: Fairview, NJ |
National Provider Directory
- Tax ID family
- Ability Network
Locations
155 Bergen Blvd
Fairview, NJ 07022
Phone (201) 941-6601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
155 Bergen Blvd
Fairview, NJ 07022-1906
Mailing address
155 Bergen Blvd
Fairview, NJ 07022-1906
Phone (201) 941-6601
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0261114 | Medicaid | NJ | |
| 07609465 | Medicaid | NY |
Other names
- FRESENIUS MEDICAL CARE FAIRVIEW
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Fairview, NJ
- Fair Ridge Pharmacy Inc
- Fairview Board of Education
- Fairview Imaging Center Inc
- Fairview Pharmacy LLC
- Ryan Thomas Finucane
- Mina Garas
- Natalia Gomez
- Steve Grbic
- Great Atlantic & Pacific Tea Company Inc
- Max Gruenberg
All providers in Fairview, NJ · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.