Organization
BAYONNE RENAL CENTER, LLC
Active
Other names
Bayonne Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE AND CERTIFICATION)
(615) 341-6691
Entity
Organization
Contact information
Practice address
434 - 436 BROADWAY, BAYONNE, NJ 07002-3628
(201) 436-1664
(201) 436-5133
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
22816
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8891605
—
NJ
Enumeration date
06/13/2006
Last updated
12/17/2025
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