Dialysis Clinic Inc.

Primary specialty

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

License

22462 Issued in NJ

Legal business name

DIALYSIS CLINIC INC.

Practice address

901 W Main St
Freehold, NJ 07728-2537

Phone

(732) 940-4460

Fax

(732) 294-5755

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

DCI FreeholdCCN 312544

Overall star rating

5.0 of 5

Ownership

Non-profit

Certified

Sep 15, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dialysis Clinic, Inc.

Dialysis stations

13

Tax ID family

Elbert P Tuttle Jr MD238 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dialysis Clinic Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Brunswick, NJ
  • NPI 1184209140
  NPD tax ID
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Brunswick, NJ
  • NPI 1437182813
  NPD tax ID
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Monroe, NJ
  • NPI 1508098955
  NPD tax ID

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 5

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

• Andrew B Covit, MD

  • Nephrology Physician
  • South River, NJ
  • NPI 1528058922

  Dialysis facility

  Care Compare affiliation Name & address match
• Harry James Dounis, DO

  • Nephrology Physician
  • Neptune, NJ
  • NPI 1124286083

  Dialysis facility

  Care Compare affiliation Name & address match
• Thomas Edward Drabik, DO

  • Nephrology Physician
  • South River, NJ
  • NPI 1619967064

  Dialysis facility

  Care Compare affiliation Name & address match
• Glenn Alan Dubov, MD

  • Nephrology Physician
  • South River, NJ
  • NPI 1407846884

  Dialysis facility

  Care Compare affiliation Name & address match
• Atul Maini, M.D.

  • Nephrology Physician
  • Maspeth, NY
  • NPI 1780876268

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1962435347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-5700",
            "fax_number": "732-294-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-940-4460",
            "fax_number": "732-294-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": "22462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7893701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Dewaters, DPM
• Marlene Dey, PH.D, APN
• Narinder K Dhillon-Athwal, M.D.
• Promila Dhillon, PH.D
• Diagnostic Heart Center of Central NJ
• Nichole Diamond, LPC
• Allison Dicaro
• Danielle Difilippo
• Jody Christopher Digiacomo, M.D.
• Tyler J Digiovanni, DC

• All providers in Freehold, NJ
• 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 Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.