Active NPI
Fresenius Medical Care Bridgeton, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bridgeton, NJ
National Provider Identifier
1962064758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- FRESENIUS MEDICAL CARE BRIDGETON, LLC
- Practice address
- 12 Cornwell Dr
Bridgeton, NJ 08302-3633 - Phone
- (856) 453-4464
- Fax
- (856) 453-4467
- NPI assigned
- Jul 2, 2019
- Organization subpart
- Yes
- Parent organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry L. Blanton
- Title
- Vice President
- Phone
- (781) 699-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
12 Cornwell Dr
Bridgeton, NJ 08302-3633
Mailing address
12 Cornwell Dr
Bridgeton, NJ 08302-3633
Phone (856) 453-4464
Other names 1
- FRESENIUS KIDNEY CARE BRIDGETON
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Flemington, NJ
- NPI 1275637043
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wilmington, DE
- NPI 1679677546
Member Of
Locations
12 Cornwell Dr
Bridgeton, NJ 08302
Phone (856) 453-4464
32 Cornwell Dr
Bridgeton, NJ 08302
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
- Vineland, NJ
- NPI 1780653956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630454400000",
"number": "1962064758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CORNWELL DR",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083023633",
"telephone_number": "856-453-4464",
"fax_number": "856-453-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CORNWELL DR",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083023633",
"telephone_number": "856-453-4464",
"fax_number": "856-453-4467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESENIUS MEDICAL CARE BRIDGETON, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2019-07-02",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A",
"authorized_official_last_name": "BLANTON",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "781-699-9000"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FRESENIUS KIDNEY CARE BRIDGETON",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FRESENIUS KIDNEY CARE BRIDGETON",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.