Active NPI
Kidney Life, LLC
Doing business as Hillside Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hillside, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 24065
- Legal business name
- KIDNEY LIFE, LLC
- Doing business as
- Hillside Dialysis
- Practice address
- 1529 N Broad St
Hillside, NJ 07205-1603 - Phone
- (973) 474-1199
- Fax
- (973) 474-1198
- NPI assigned
- May 14, 2012
- Organization subpart
- No
NPPES NPI Registry
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 & Certification
- Phone
- (615) 341-6691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 24065 | NJ | Primary |
Addresses
Primary practice location
1529 N Broad St
Hillside, NJ 07205-1603
Mailing address
5200 Virginia Way
L & C Dept
Brentwood, TN 37027-7569
Phone (615) 341-6410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0976911 | Medicaid | NJ |
Other names 1
- Hillside Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230513000085 | NJ | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 2769665207 | Practice locations: Hillside, NJ |
Other NPIs with the same Medicare PAC ID 23
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Neptune Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Neptune, NJ
- NPI 1063446912
2769665207
-
dba Woodbridge Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Woodbridge, NJ
- NPI 1093054629
2769665207
-
dba Hamilton Street Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Somerset, NJ
- NPI 1124568563
2769665207
-
dba Old Bridge Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Old Bridge, NJ
- NPI 1164451852
2769665207
-
dba New Brunswick Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Brunswick, NJ
- NPI 1194009274
2769665207
-
dba West Orange Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- West Orange, NJ
- NPI 1295070811
2769665207
-
dba Monroe Township Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Monroe Township, NJ
- NPI 1407243751
2769665207
-
dba Middletown Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Red Bank, NJ
- NPI 1427082361
2769665207
-
dba Summit Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mountainside, NJ
- NPI 1437189867
2769665207
-
dba East Orange Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- East Orange, NJ
- NPI 1548299373
2769665207
-
dba Edison Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Edison, NJ
- NPI 1548299381
2769665207
-
dba Atlantic Artificial Kidney Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Eatontown, NJ
- NPI 1578593927
2769665207
National Provider Directory
National Provider Directory- Tax ID family
- Kidney Life LLC
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Neptune Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Neptune, NJ
- NPI 1063446912
-
dba Woodbridge Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Woodbridge, NJ
- NPI 1093054629
-
dba Hamilton Street Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Somerset, NJ
- NPI 1124568563
-
dba Old Bridge Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Old Bridge, NJ
- NPI 1164451852
-
dba New Brunswick Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Brunswick, NJ
- NPI 1194009274
-
dba West Orange Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- West Orange, NJ
- NPI 1295070811
-
dba Monroe Township Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Monroe Township, NJ
- NPI 1407243751
-
dba Middletown Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Red Bank, NJ
- NPI 1427082361
-
dba Summit Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mountainside, NJ
- NPI 1437189867
-
dba East Orange Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- East Orange, NJ
- NPI 1548299373
-
dba Edison Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Edison, NJ
- NPI 1548299381
-
dba Atlantic Artificial Kidney Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Eatontown, NJ
- NPI 1578593927
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Silverado Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Napa, CA
- NPI 1295024206
Member Of
Locations
1529 N Broad St
Hillside, NJ 07205
Phone (973) 474-1199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1851650683",
"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": "1529 N BROAD ST",
"city": "HILLSIDE",
"state": "NJ",
"postal_code": "072051603",
"telephone_number": "973-474-1199",
"fax_number": "973-474-1198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEY LIFE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-14",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP, LICENSURE & 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": "24065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0976911",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hillside Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hillside Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hillside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.