Organization · Type 2 NPI

Brookstone Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jersey City, NJ

NPI number 1427762897 Active

Practice location

15 Carbon Pl
Jersey City, NJ 07305-5295

Call (551) 285-1016 Map

Fax (551) 285-1343

Mailing address

5200 Virginia Way, L And C Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1427762897
Entity type: Organization (Type 2)
Issued: Jan 10, 2023
Last updated: Jan 3, 2024
Status: Active
Subpart: Yes of Davita Inc

Other names

<unavail>
Liberty Park Dialysis · doing business as
Liberty Park Dialysis · doing business as

Authorized official

Samuel Wey
VP, Licensure & Certification
(615) 320-4414

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1427762897

Brookstone Dialysis LLC's National Provider Identifier is 1427762897, issued on Jan 10, 2023. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Jersey City, NJ. The record was last updated on Jan 3, 2024.