Great Falls Dialysis LLC

Primary specialty

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

Legal business name

GREAT FALLS DIALYSIS LLC

Practice address

498 E 30TH St
Paterson, NJ 07504-2133

Phone

(973) 569-0500

Fax

(973) 569-0510

NPI assigned

Mar 13, 2013

Last updated

Jun 3, 2026By 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

Sara Anne Brady

Title

Chief Nursing Officer

Phone

(208) 371-7878

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Innovative Renal Care Great FallsCCN 312627

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Sep 18, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

18

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 1

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

• Sam Rae, MD

  • Nephrology Physician
  • Wayne, NJ
  • NPI 1649277294

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1902147051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 E 30TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075042133",
            "telephone_number": "973-569-0500",
            "fax_number": "973-569-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 E 30TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075042133",
            "telephone_number": "973-569-0500",
            "fax_number": "973-569-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT FALLS DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "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": "0380229",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Street Pharmacy LLC (Grand Street Pharmacy)
• Tamoy Grant
• Linda M Graves, M.D.
• Steven Gravier-Leon, MD
• Jeremy S Grayson, MD
• Great Falls Foot & Ankle Center, P.a.
• Great Falls Medical Care PC
• Great Falls Operations LLC (Great Falls HCC)
• Frank Greco Jr., DMD
• Glenn Grey, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Paterson, NJ
• Providers in Paterson, 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 Jun 3, 2026; 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.