Organization
NORTHERN NEW JERSEY DIALYSIS, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS MEDICAL CARE KENVIL
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
677 US HIGHWAY 46 STE C, KENVIL, NJ 07847-2699
(973) 252-1301
(973) 252-1305
Mailing address
677 US HIGHWAY 46 STE C, KENVIL, NJ 07847-2699
(973) 252-1301
(973) 252-1305
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
22895
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303304
—
NJ
Enumeration date
07/23/2006
Last updated
10/14/2023
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