Active NPI
Simeon Dialysis LLC
Doing business as St Josephs Paterson Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SIMEON DIALYSIS LLC
- Doing business as
- St Josephs Paterson Dialysis
- Practice address
- 11 Getty Ave
275 Hospital Plaza
Paterson, NJ 07503 - Phone
- (973) 684-3490
- Fax
- (973) 247-2740
- NPI assigned
- Dec 22, 2011
- 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 Wey
- Title
- VP, Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
11 Getty Ave
275 Hospital Plaza
Paterson, NJ 07503
Mailing address
5200 Virginia Way
L & C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0306681 | Medicaid | NJ |
Other names 1
- St Josephs Paterson 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 |
|---|---|---|---|---|
| O20120809000628 | NJ | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9537336334 | Practice locations: Paterson, NJ |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba St Josephs Wayne Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wayne, NJ
- NPI 1205104841
9537336334
-
dba St Josephs SJRMC Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Paterson, NJ
- NPI 1639447105
9537336334
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita St. Joseph's Paterson Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Dec 1, 2011
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 60
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Rehabilitation Hospital Unit
- Wayne, NJ
- NPI 1609847870
Member Of
-
dba Red Hawk Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Castle Rock, CO
- NPI 1386928430
Member Of
-
dba Cascade Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Burlington, WA
- NPI 1932595584
Member Of
Locations
11 Getty Ave
St Joss Paterson Dialysis
Paterson, NJ 07503
Phone (973) 569-6400
11 Getty Ave
St Josephs Paterson Dialysis
Paterson, NJ 07503
Phone (973) 684-3490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Wayne, NJ
- NPI 1568564102
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745193600000",
"number": "1871862730",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 GETTY AVE",
"address_2": "275 HOSPITAL PLAZA",
"city": "PATERSON",
"state": "NJ",
"postal_code": "07503",
"telephone_number": "973-684-3490",
"fax_number": "973-247-2740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMEON DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-22",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0306681",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St Josephs Paterson Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St Josephs Paterson Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.