Organization
PHYSICIANS DIALYSIS HACKETTSTOWN
Active
Organization
PHYSICIANS DIALYSIS HACKETTSTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY J BOOTH (CEO)
(305) 651-3261
Entity
Organization
Contact information
Practice address
657 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1868
(908) 450-0396
Mailing address
19559 NE 10TH AVE, NORTH MIAMI BEACH, FL 33179-3501
(305) 651-3261
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
23433
NJ
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up