Redcliff Dialysis LLC

Primary specialty

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

Legal business name

REDCLIFF DIALYSIS LLC

Doing business as

Millburn Dialysis

Practice address

25 E Willow St
Ste 2
Millburn, NJ 07041-1416

Phone

(973) 379-7309

Fax

(973) 379-5175

NPI assigned

Feb 28, 2014

Last updated

Mar 24, 2020By 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

John D Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Millburn Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

DaVita Millburn DialysisCCN 312645

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Dec 10, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Total Renal Care Inc

  dba Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Ryan P Brown, MD

  • Nephrology Physician
  • South Plainfield, NJ
  • NPI 1396966750

  Dialysis facility

  Care Compare affiliation Name & address match
• Craig Russell Goldstein, DOMD

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1700973203

  Dialysis facility

  Care Compare affiliation Name & address match
• Heather Nadine Lefkowitz, MD

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1659346518

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1972928851",
    "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",
            "telephone_number": "615-341-6410",
            "fax_number": "888-662-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WILLOW ST",
            "address_2": "STE 2",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411416",
            "telephone_number": "973-379-7309",
            "fax_number": "973-379-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDCLIFF DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "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": "0448494",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millburn Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millburn Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shruti Chakrabarti Ramesh, DO
• Giovanni Ramundo, M.D.
• Neha Rana, M.D.
• Holly Raye, LMT
• Recovery Physical Therapy, PC
• Nova Velandie Reid-Jones, FNP
• Daniel B Richmond, M.D.
• Rickers & Kulkarni Medical Group PA
• Denise Endress Ridente, L.C.S.W.
• Gloria Ritacco-Stewart, LCSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Millburn, NJ
• Providers in Millburn, 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 Mar 24, 2020; 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.