Organization · Type 2 NPI

Bergen Renal Home PD Center, LLC

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

NPI number 1699078964 Active

Practice location

222 Cedar Ln Ste 103
Teaneck, NJ 07666-4311

Fax (201) 692-7776

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: 1699078964
Entity type: Organization (Type 2)
Issued: Dec 8, 2010
Last updated: Aug 24, 2021
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

<unavail>
Bergen Renal Home PD Center · doing business as

Authorized official

Barry L. Blanton
Vice President
(781) 699-9000

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About NPI 1699078964

Bergen Renal Home PD Center, LLC's National Provider Identifier is 1699078964, issued on Dec 8, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Teaneck, NJ. The record was last updated on Aug 24, 2021.