FMS PHILADELPHIA DIALYSIS LLC (NPI# 1689778458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689778458 |
| Entity Type | Organization |
| Organization Name | FMS PHILADELPHIA DIALYSIS LLC |
| Other Organization Name | FRESENIUS TEMPLE DIALYSIS - ONTARIO |
| Practice Address |
3401 Fox Street Suite A Philadelphia PA 19129-1230 |
| Practice Telephone | 2152213160 |
| Mailing Telephone | 2152213160 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | JAMES JOSEPH DIVITO (VICE PRESIDENT) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 | 100735393-0009 | 05 |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Ontario Dialysis | Doing Business As Name - Organization |
| FRESENIUS TEMPLE DIALYSIS - ONTARIO | Doing Business As Name - Organization |
| Street Address |
3401 FOX STREET SUITE A |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19129-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891890174 | Fms Philadelphia Dialysis, LLC | Clinic/Center | 3401 Fox Street, Suite C, Philadelphia, PA 19129-1230 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982243754 | Margaret Brown | Social Worker | Sherman Mills 3502 Scott's Lane, Building 16, Philadelphia, PA 19129 | 2019-12-27 |
| 1518325760 | Care365 Inc | Case Management | 3507 Scotts Ln, Ste. 1923, Philadelphia, PA 19129 | 2016-02-03 |
| 1144698408 | Raymond C Nwaneri | Nurse Practitioner | 3301 Scotts Lane, Haven Behavioral Hospital, Philadelphia, PA 19129 | 2015-09-03 |
| 1659748432 | Donna S. Wolf | Social Worker | 3302 Tilden Street, Philadelphia, PA 19129 | 2015-08-27 |
| 1891066619 | Melissa Sayer | Advanced Practice Midwife | 2450 W. Hunting Park Ave, Temple University Health System, Philadelphia, PA 19129 | 2012-01-25 |
| 1154604007 | Keystone Psychological Associates | Clinic/Center | 3502 Scotts Lane, Building 1 Suite 114, Philadelphia, PA 19129 | 2011-09-27 |
| 1174754618 | Clarence B Iszard Jr. | Counselor | 3246 North Bailey Street, Philadelphia, PA 19129 | 2009-07-31 |
| 1487816708 | St.chris Care At Northeast Pediatrics, LLC | Pediatrics | One Falls Center, 3300 Henry Avenue, 4th Floor, Philadelphia, PA 19129 | 2008-06-27 |
| 1740400845 | Sharon L. Young | Psychologist | 3205 Defense Terrace, Abbottsford Family Practice & Counseling, Philadelphia, PA 19129 | 2007-04-30 |
| 1043355621 | Donald Herman Silverman | Dentist | 3405 Warden Drive, Philadelphia, PA 19129 | 2007-02-21 |
| Find all providers in zip 19129 | ||||
| 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 | 19129 |
Please comment or provide details below to improve the information on FMS PHILADELPHIA DIALYSIS 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.