HOLY NAME HOSPITAL REGIONAL DIALYSIS CENTER (NPI# 1043389349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043389349 |
| Entity Type | Organization |
| Organization Name | HOLY NAME HOSPITAL REGIONAL DIALYSIS CENTER |
| Practice Address |
718 Teaneck Rd Teaneck NJ 07666-4245 |
| Practice Telephone | 2018333000 |
| Practice Fax Number | 2018334486 |
| Mailing Telephone | 2018333000 |
| Mailing Fax Number | 2018334486 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | MS. SUZANNE JULIANO (DIRECTOR, DIALYSIS CENTER) |
| Authorized Official Telephone | 2018333000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4135407 | 05 |
| Street Address |
718 TEANECK RD |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900549 | John Jude Klein | Specialist | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2005-05-27 |
| 1962013086 | Andrew Murgittroyd | Pharmacist | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2020-08-12 |
| 1386266179 | Kimberly A Miletti | Nurse Practitioner | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2020-05-14 |
| 1043857469 | Tara Lynn Hill | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4281 | 2019-12-04 |
| 1487291282 | Tamara Szwecki | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-30 |
| 1053958819 | Mikyong Cho | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-28 |
| 1447896287 | Jaclyn Susan Giordano | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-26 |
| 1619513454 | Rose Apkarian | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-26 |
| 1609335769 | Mallory Nop | Internal Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-03-18 |
| 1639649593 | Robert J Walsh | Physical Medicine & Rehabilitation | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699078964 | Bergen Renal Home Pd Center LLC | Clinic/Center | 222 Cedar Ln Ste 103, Teaneck, NJ 07666-4311 | 2010-12-08 |
| 1639290737 | Bergen Renal Care Center, LLC | Clinic/Center | 647 Cedar Ln, Teaneck, NJ 07666-1701 | 2007-04-03 |
| 1902161060 | Holy Name Renal Care Center, LLC | Clinic/Center | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2012-07-05 |
| 1972624070 | Holy Name Home Dialysis Center, Inc. | Clinic/Center | 222 Cedar Ln, Suite 103, Teaneck, NJ 07666-4314 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963938 | Usrc Gloucester, LLC | Clinic/Center | 601 Berlin Cross Keys Rd, Sicklerville, NJ 08081-9563 | 2020-05-18 |
| 1679192876 | Knickerbocker Dialysis Inc | Clinic/Center | 1734 Hancock St, Ridgewood, NJ 11385-4734 | 2020-04-09 |
| 1750910295 | Elandon Dialysis LLC | Clinic/Center | 820 N Rte 17, Paramus, NJ 07652-3104 | 2020-04-06 |
| 1780212365 | Zellier Dialysis LLC | Clinic/Center | 1260 Route 22 E, North Plainfield, NJ 07060 | 2020-03-30 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1598306276 | Fresenius Medical Care Passaic, LLC | Clinic/Center | 10 Clifton Blvd Ste 1, Clifton, NJ 07011-3802 | 2019-10-03 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1699323824 | Claymount Dialysis LLC | Clinic/Center | 21 Cornwell Dr, Bridgeton, NJ 08302-3632 | 2019-08-30 |
| 1962064758 | Fresenius Medical Care Bridgeton, LLC | Clinic/Center | 12 Cornwell Dr, Bridgeton, NJ 08302-3633 | 2019-07-02 |
| 1790347698 | Wellbound of Cherry Hill, LLC | Clinic/Center | 1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2117 | 2019-07-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.