Renal Center of Passaic, LLC

Primary specialty

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

License

22618 Issued in NJ

Legal business name

RENAL CENTER OF PASSAIC, LLC

Practice address

10 Clifton Blvd
Suite 1
Clifton, NJ 07011-3802

Phone

(973) 594-9100

Fax

(973) 594-9119

NPI assigned

Jun 4, 2006

Organization subpart

Yes

Parent organization

RENAL VENTURES MANAGEMENT , LLCAs reported in NPPES

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

Authorized official

Name

Richard Chatfield

Title

Chief Executive Officer

Phone

(303) 384-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

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

• Renal Treatment Centers Northeast Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lehighton, PA
  • NPI 1598727372

  Member Of

  NPD member

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1982642401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 COLE BLVD",
            "address_2": "STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013306",
            "telephone_number": "303-384-4000",
            "fax_number": "303-273-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CLIFTON BLVD",
            "address_2": "SUITE 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113802",
            "telephone_number": "973-594-9100",
            "fax_number": "973-594-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CENTER OF PASSAIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENAL VENTURES MANAGEMENT , LLC",
        "enumeration_date": "2006-06-04",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "CHATFIELD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "303-384-4000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": "22618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8219401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janine Mallari Reilly, DO
• Lauren Reinmann, LPC
• Richard B Reiss, D.M.D.
• Reliance Anesthesia Services LLC
• Jeffrey H Rempell, DMD
• Gene Resnick, DMD
• Joseph David Retik, LPC, CCH
• Revive Medical Group PC
• Nikil R Revuri, MD
• Rey Medicine PC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Clifton, NJ
• Providers in Clifton, 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 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.