Organization
RENAL CENTERS OF NORTH JERSEY, LLC
Active
Other names
LINCOLN PARK DIALYSIS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY GREEN (SECRETARY)
(562) 495-8075
Entity
Organization
Contact information
Practice address
6 FRASSETTO WAY, A, LINCOLN PARK, NJ 07035-2058
(973) 872-0099
(973) 872-0230
Mailing address
1 WORLD TRADE CTR, 2500, LONG BEACH, CA 90831-0002
(562) 495-8075
(562) 495-8076
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
22359
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6820301
—
NJ
Enumeration date
01/30/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us