FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SE


Address: 83 Hanover Rd., Suite 290, Florham Park, NJ 07932-1508
Phone: 9739665200

FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SE (NPI# 1730351289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730351289
Entity Type Organization
Organization Name FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SE
Other Organization Name CKD SERVICES OF NEW JERSEY
Practice Address 83 Hanover Rd.
Suite 290
Florham Park
NJ 07932-1508
Mailing Address 920 Winter St
Fmcna Ckd Services 3w-16
Waltham
MA 02451-1521
Practice Telephone 9739665200
Practice Fax Number 9739660300
Mailing Telephone 7816994160
Mailing Fax Number 7816994046
Enumeration Date 2008-03-25
Last Update Date 2011-02-07
Authorized Official Name MR. MARK R FAWCETT (VICE PRESIDENT, TREASURER)
Authorized Official Telephone 7816992668
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS, INC.

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0189723 05

Other Provider/Organization Names

Other Name Type Code
CKD Services of New Jersey Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982872248 Fresenius Medical Care Comprehensive Ckd Se Clinic/Center 360 Walmart Dr, Uniontown, PA 15401-3109 2008-02-20

Office Location

Street Address 83 HANOVER RD.
SUITE 290
City FLORHAM PARK
State NJ
Zip Code 07932-1508

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1386192706 Bai Li Medical Health Center Point of Service 171 Ridgedale Ave., Ste. 1f, Florham Park, NJ 07932 2016-09-14
1942756580 Elizabeth Savino Social Worker 10 Hanover Road, Florham Park, NJ 07932 2016-09-01
1790182426 John A Carollo Dmd Pa Clinic/Center 131 Columbia Turnpike, Suite 2a, Florham Park, NJ 07932 2014-11-24
1306265673 Rachel Myra Fitz Anesthesiology 30b Vreeland Rd Ste 200, Florham Park, NJ 07932 2014-04-15
1922442615 Allison Ann Sopko Pediatrics 195 Columbia Tpke Ste 105, Florham Park, NJ 07932 2013-04-24
1770869315 Nexpc1 LLC Internal Medicine 128 Columbia Turnpike, Suite 101, Florham Park, NJ 07932 2011-10-27
1528356391 Daniel Timothy Streeter Physical Therapist 30 Vreeland Rd., Building A Suite #110, Florham Park, NJ 07932 2011-07-14
1558672964 Anna Marie Seavey Dietitian, Registered 83 Hanover Road, Suite 190, Florham Park, NJ 07932 2010-06-30
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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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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Competitor

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City FLORHAM PARK
Zip Code 07932

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Dataset Information

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.

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