Atlantic Kidney Centers Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

ATLANTIC KIDNEY CENTERS INC

Practice address

4700 N Congress Ave
Ste 104
West Palm Beach, FL 33407-3282

Phone

(561) 845-2888

Fax

(561) 845-7282

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Marietta Holmes

Title

Administrator

Phone

(561) 845-2888

Specialties & licenses 1

Addresses

Other identifiers 3

Listed as

Atlantic Kidney Centers LLCCCN 102710

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Nov 18, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

20

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Affiliated clinicians 3

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

• Ronald M Goldin, M.D.

  • Nephrology Physician
  • Palm Beach Gardens, FL
  • NPI 1336245596

  Dialysis facility

  Care Compare affiliation Name & address match
• Michael Lotfi, M.D.

  • Nephrology Physician
  • West Palm Beach, FL
  • NPI 1811994296

  Dialysis facility

  Care Compare affiliation Name & address match
• Jaideep Puri, M.D.

  • Nephrology Physician
  • Jupiter, FL
  • NPI 1184673444

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881675239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE",
            "address_2": "STE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073282",
            "telephone_number": "561-845-2888",
            "fax_number": "561-845-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE",
            "address_2": "STE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073282",
            "telephone_number": "561-845-2888",
            "fax_number": "561-845-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC KIDNEY CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MARIETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-845-2888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "209348",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21209330",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "V7Q",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlantic Coastal Medical Supplies,LLC
• Atlantic Health, LLC
• Atlantic Healthcare Products Inc.
• Atlantic Home Health Agency of South Florida, LLC
• Atlantic Kidney Center LLC
• Atlantic Labs DX
• Atlantic Saury Inpatient Services LLC
• Atlas Joint and Spine Center
• Atpb LLC
• Atwal Clinic LLC

• Nephrology Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.