SIMEON DIALYSIS LLC (NPI# 1205104841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205104841 |
| Entity Type | Organization |
| Organization Name | SIMEON DIALYSIS LLC |
| Other Organization Name | ST JOSEPHS WAYNE DIALYSIS |
| Practice Address |
57 Willowbrook Blvd Wayne NJ 07470 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9738902792 |
| Practice Fax Number | 9738902796 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2011-12-11 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
22344 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0297852 | 05 |
| Other Name | Type Code |
|---|---|
| St Josephs Wayne Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871862730 | Simeon Dialysis LLC | Clinic/Center | 11 Getty Ave, 275 Hospital Plaza, Paterson, NJ 07503 | 2011-12-22 |
| 1639447105 | Simeon Dialysis LLC | Clinic/Center | 703 Main St, Paterson, NJ 07503-2621 | 2011-12-12 |
| Street Address |
57 WILLOWBROOK BLVD |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437149325 | St Josephs Hospital and Medical Center | Clinic/Center | 57 Willowbrook Blvd, Wayne, NJ 07470-7045 | 2005-10-24 |
| 1760777270 | Sami Abdulmassih | Family Medicine | 57 Willowbrook Blvd, Wayne, NJ 07470-7045 | 2011-06-13 |
| 1407183940 | St. Joseph's Dialysis, LLC | Clinic/Center | 57 Willowbrook Blvd, 2nd Floor, Wayne, NJ 07470-7045 | 2009-11-04 |
| 1174779987 | North Jersey Fertility Associates, LLC | Obstetrics & Gynecology | 57 Willowbrook Blvd, Wayne, NJ 07470-7045 | 2008-08-12 |
| 1851555056 | Perinatal Services of Northern New Jersey | Obstetrics & Gynecology | 57 Willowbrook Blvd, Suite 301, Wayne, NJ 07470-7045 | 2008-07-16 |
| 1790820496 | Willowbrook Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 57 Willowbrook Blvd, Suite 301, Wayne, NJ 07470-7045 | 2007-02-20 |
| 1689730269 | Jennifer Yvonne Greene | Obstetrics & Gynecology | 57 Willowbrook Blvd, Second Floor, Wayne, NJ 07470-7045 | 2006-12-28 |
| 1740216605 | Roger Patrick Kierce | Obstetrics & Gynecology | 57 Willowbrook Blvd, Wayne, NJ 07470-7045 | 2006-06-23 |
| 1538101662 | Kevin J Mickey | Ophthalmology | 57 Willowbrook Blvd, Suite 411, Wayne, NJ 07470-7045 | 2006-06-12 |
| 1225076961 | Sherry Yang | Ophthalmology | 57 Willowbrook Blvd, Suite 411, Wayne, NJ 07470-7045 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| 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 |
|---|---|---|---|---|
| 1215389747 | Ravine Dialysis LLC | Clinic/Center | 600 Mcginnis Dr, Wayne, WV 25570 | 2016-07-08 |
| 1437149325 | St Josephs Hospital and Medical Center | Clinic/Center | 57 Willowbrook Blvd, Wayne, NJ 07470-7045 | 2005-10-24 |
| 1407183940 | St. Joseph's Dialysis, LLC | Clinic/Center | 57 Willowbrook Blvd, 2nd Floor, Wayne, NJ 07470-7045 | 2009-11-04 |
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|---|---|---|---|---|
| 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.