Organization · Type 2 NPI
Dialysis Center of Mountainside LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · East Orange, NJ
NPI number
1629564653
Active
Practice location
20 Sussex Avenue
East Orange, NJ 07018-4228
Fax (973) 266-1094
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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About NPI 1629564653
Dialysis Center of Mountainside LLC's National Provider Identifier is 1629564653, issued on Jul 2, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in East Orange, NJ. The record was last updated on May 19, 2026.