Unicoi Dialysis LLC

Primary specialty

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

Legal business name

UNICOI DIALYSIS LLC

Doing business as

East Brunswick Dialysis

Practice address

629 Cranbury Rd
Ste 101
East Brunswick, NJ 08816-4096

Phone

(732) 238-1909

Fax

(732) 967-8173

NPI assigned

Sep 5, 2013

Last updated

Dec 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• East Brunswick Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

DaVita East Brunswick DialysisCCN 312638

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Jun 11, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

19

Member of 2

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

• Total Renal Care Inc

  dba Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  Member Of

  NPD member
• Total Renal Care, Inc.

  dba Bountiful Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bountiful, UT
  • NPI 1184387516

  Member Of

  NPD member

Locations

Affiliated clinicians 5

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

• Nida Arabi

  • Nephrology Physician
  • Monroe, NJ
  • NPI 1194957639

  Dialysis facility

  Care Compare affiliation Name & address match
• Sandesh Jain, MD

  • Nephrology Physician
  • Somerset, NJ
  • NPI 1831236967

  Dialysis facility

  Care Compare affiliation Name & address match
• Steven Eunsik Kim, M.D.

  • Nephrology Physician
  • East Brunswick, NJ
  • NPI 1457435646

  Dialysis facility

  Care Compare affiliation Name & address match
• Ojas Mehta, D.O.

  • Nephrology Physician
  • Monroe, NJ
  • NPI 1255504031

  Dialysis facility

  Care Compare affiliation Name & address match
• Primabel Gina Obias, M.D.

  • Specialist
  • Somerset, NJ
  • NPI 1225059579

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1841625100",
    "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": "629 CRANBURY RD",
            "address_2": "STE 101",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164096",
            "telephone_number": "732-238-1909",
            "fax_number": "732-967-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICOI DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0416380",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Brunswick Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Brunswick Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Renee Uhrig Gulkis, LCSW
• Eric Joseph Uhrik, D.O
• Sharon Julia Underberg-Davis, MD
• Yaa Dufie Underhill
• Raymond J Ungermah, DMD
• Unimed Center
• United Foot and Ankle, Inc (Dr. Big Foot)
• United Healthcare Speciality RX
• Universal Hearing LLC (Miracle Ear)
• University Children's Eye Center, PC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in East Brunswick, NJ
• Providers in East Brunswick, 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 29, 2023; 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.