PERSONAL DIALYSIS, INC. (NPI# 1902907652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902907652 |
| Entity Type | Organization |
| Organization Name | PERSONAL DIALYSIS, INC. |
| Practice Address |
747 Cambridge St Brighton MA 02135-2926 |
| Mailing Address |
400 W Cummings Park Suite 2250 Woburn MA 01801-6519 |
| Practice Telephone | 6177833800 |
| Practice Fax Number | 6177830255 |
| Mailing Telephone | 7819328891 |
| Mailing Fax Number | 6177830255 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARTIN L. GELMAN (PRESIDENT) |
| Authorized Official Telephone | 7819328891 |
| Authorized Official Credential | M.D. |
| 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 |
EQZF | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HPHC PAYEE ID | AA33419 | 01 |
| MA | 1316303 | 05 | |
| MA | FALLON HEALTHCARE PROV NO | 93942 | 01 |
| Street Address |
747 CAMBRIDGE ST |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669676888 | Carol Elizabeth Doyle | Registered Nurse | 747 Cambridge St, Brighton, MA 02135-2926 | 2007-06-12 |
| 1811191117 | Jeanelle Lucille Taylor | Registered Nurse | 747 Cambridge St, Brighton, MA 02135-2926 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1356302848 | Kidney Centers of Michigan LLC | Clinic/Center | 7960 Grand River Rd, Ste 210, Brighton, MI 48114-7336 | 2006-04-01 |
| 1821065749 | Brighton Dialysis Center LLC | Clinic/Center | 4700 E Bromley Lane, Suite 103, Brighton, CO 80601 | 2006-03-01 |
| 1720465016 | Renal Treatment Centers Illinois Inc | Clinic/Center | 7960 Grand River Rd, Suite 210, Brighton, MI 48114-7336 | 2015-05-06 |
| 1881801868 | Saint Elizabeth Medical Center Dialysis Unit | Clinic/Center | 736 Cambridge St, Brighton, MA 02135-2907 | 2007-05-17 |
| 1801901665 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 5757 Whitmore Lake Rd, Suite1600, Brighton, MI 48116-1962 | 2006-08-20 |
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| 1760025217 | Leominster Dialysis LLC | Clinic/Center | 20 Commercial Rd Ste 5, Leominster, MA 01453-3339 | 2019-10-28 |
| 1801448725 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 10 Galaxy Pass Ste A, Sutton, MA 01590-4838 | 2019-07-11 |
| 1023596863 | Ara-holyoke Dialysis LLC | Clinic/Center | 36 Lower Westfield Rd Unit C-153, Holyoke, MA 01040-2749 | 2018-08-03 |
| 1831603638 | Auburn Health LLC | Clinic/Center | 771 Southbridge St Ste 1, Auburn, MA 01501-1345 | 2017-12-01 |
| 1295247955 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 867 Grafton St Ste 3, Worcester, MA 01604-2052 | 2017-11-02 |
| 1356850242 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 267 Shrewsbury St, Worcester, MA 01604-4623 | 2017-09-24 |
| 1942673819 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 216 Huttleston Ave, Fairhaven, MA 02719-1958 | 2015-11-02 |
| 1134500747 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 75 Newbury St, Danvers, MA 01923-1083 | 2015-06-10 |
| 1588067623 | Nxstage Boston South, LLC | Clinic/Center | 500 Providence Hwy Ste 1, Norwood, MA 02062-4960 | 2014-10-03 |
| 1164840484 | Fresenius Medical Care Cnv Marlborough, LLC | Clinic/Center | 360 Cedar Hill St Ste 3, Marlborough, MA 01752-4175 | 2014-04-03 |
| Find all providers with the same taxonomy | ||||
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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.