ST. JOSEPH'S DIALYSIS , LLC – NPI #1407183940
Clinic/Center

ST. JOSEPH'S DIALYSIS , LLC is an AHC clinic located in WAYNE, NJ. NPPES has assigned the NPI number 1407183940 to ST. JOSEPH'S DIALYSIS , LLC on November 04, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. JOSEPH'S DIALYSIS , LLC below.

NPI Profile for
ST. JOSEPH'S DIALYSIS , LLC

NPI Number
1407183940
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. JOSEPH'S DIALYSIS , LLC
Primary location
57 WILLOWBROOK BLVD
2ND FLOOR
WAYNE, NJ 07470-7045
Phone: (973) 754-4092 Fax: (973) 754-4049
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDWARD JIMENEZ
PRESIDENT
Phone: (973) 754-2925
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.