PERITONIAL DIALYSIS ON NORTH AMERICA,LLC – NPI #1215969563
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

PERITONIAL DIALYSIS ON NORTH AMERICA,LLC is a provider located in AVENEL, NJ. NPPES has assigned the NPI number 1215969563 to PERITONIAL DIALYSIS ON NORTH AMERICA,LLC on July 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 17 years ago on Dec 28, 2008. 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 PERITONIAL DIALYSIS ON NORTH AMERICA,LLC below.

NPI Profile for
PERITONIAL DIALYSIS ON NORTH AMERICA,LLC

NPI Number
1215969563
Enumeration Date

(about 20 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
PERITONIAL DIALYSIS ON NORTH AMERICA,LLC
Primary location
1030 ST.GEORGE AVE
LOWER LEVEL 1
AVENEL, NJ 07001
Phone: (732) 750-5555 Fax: (732) 750-5550
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALEXANDER SWAN
OWNER
Phone: (732) 750-5555
Updated
Identifiers

Identifiers for PERITONIAL DIALYSIS ON NORTH AMERICA,LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ8974004
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
207RN0300X
- Internal Medicine / Nephrology (Primary)
NJ MA068150

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.