THE DIALYSIS CENTER OF NORTH PHILADELPHIA LLC (NPI# 1083005227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083005227 |
| Entity Type | Organization |
| Organization Name | THE DIALYSIS CENTER OF NORTH PHILADELPHIA LLC |
| Practice Address |
1300 W Lehigh Ave Suite 106 Philadelphia PA 19132-2760 |
| Practice Telephone | 2152231018 |
| Practice Fax Number | 2152231019 |
| Mailing Telephone | 2152231018 |
| Mailing Fax Number | 2152231019 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| 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 |
|---|---|---|---|
| PA | 1030408260001 | 05 |
| Street Address |
1300 W LEHIGH AVE SUITE 106 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19132-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082340 | Broad & Lehigh Pharmacy, Inc | Pharmacist | 1300 W Lehigh Ave, Suite 102, Philadelphia, PA 19132-2701 | 2005-06-10 |
| 1467690420 | Anne Clark Mcfadden | Physician Assistant | 1300 W Lehigh Ave, Philadelphia, PA 19132-2701 | 2009-01-29 |
| 1598817520 | Temple Physicians Inc. | Pediatrics | 1300 W Lehigh Ave, Suite B, Philadelphia, PA 19132-2760 | 2007-01-18 |
| 1013068345 | Temple Physicians Inc. | Internal Medicine | 1300 W Lehigh Ave, Suite A, Philadelphia, PA 19132-2760 | 2007-01-15 |
| 1104802743 | Mohamad Kadkhoda | Pediatrics | 1300 W Lehigh Ave, Suite B, Philadelphia, PA 19132-2701 | 2005-12-15 |
| 1790769917 | Ronald Cowen | Family Medicine | 1300 W Lehigh Ave, Philadelphia, PA 19132-2701 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511017 | Irene Maria Clark | Social Worker | 3101 N. 29th St., Philadelphia, PA 19132 | 2020-06-03 |
| 1518407519 | Forget Me Knot Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 2321 N Broad Street, Philadelphia, PA 19132 | 2017-02-24 |
| 1609322437 | Shaakira Gillette | Social Worker | 2514 N. Broad St, Philadelphia, PA 19132 | 2016-08-31 |
| 1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
| 1972958544 | Rittenhouse Health LLC | Substance Abuse Rehabilitation Facility | 2321 N. Broad St, Philadelphia, PA 19132 | 2016-05-02 |
| 1336593458 | Jamal Vann | Counselor | 2233-43 West Allegheny Avenue, Philadelphia, PA 19132 | 2016-04-14 |
| 1487027132 | Jazzmin Devine | Specialist/Technologist | 200 Prospect St Hemlock 430a, East Stroudsburg University, PA 19132 | 2015-11-03 |
| 1609282508 | Lawrence Petitfrere | Pharmacist | 2801 W Dauphin St, Philadelphia, PA 19132 | 2014-07-11 |
| 1437565157 | Mental Health Partnerships | Community/Behavioral Health | 2709 N. Broad Street, Philadelphia, PA 19132 | 2014-07-02 |
| 1477977346 | Randy Morman | Counselor | 2514 N. Broad Street, 1st Floor, Philadelphia, PA 19132 | 2014-02-12 |
| Find all providers in zip 19132 | ||||
| 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 |
|---|---|---|---|---|
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1306322516 | Isd Renal, Inc | Clinic/Center | 6501 Roosevelt Blvd, Ste 6581, Philadelphia, PA 19149-2918 | 2018-07-11 |
| 1093229809 | Northeast Philadelphia Dialysis Center LLC | Clinic/Center | 9815 Roosevelt Blvd Ste 1-a, Philadelphia, PA 19114-1035 | 2017-12-01 |
| 1134640949 | Isd Renal Inc | Clinic/Center | 1236 N 26th St, Philadelphia, PA 19121-4602 | 2017-06-30 |
| 1851812069 | Total Renal Care Inc | Clinic/Center | 235 W Chelten Ave, Philadelphia, PA 19144-3802 | 2017-06-28 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1609249986 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 301 W Chelten Ave, Philadelphia, PA 19144-3804 | 2015-11-09 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19132 |
Please comment or provide details below to improve the information on THE DIALYSIS CENTER OF NORTH PHILADELPHIA LLC.
| 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.