Organization · Type 2 NPI

Kittery Dialysis LLC

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

NPI number 1720739055 Active

Practice location

490 Chamberlain Ave
Paterson, NJ 07522-1089

Call (862) 657-5572 Map

Fax (862) 657-5644

Mailing address

5200 Virginia Way, L&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...

2 other providers at this address

Other end-stage renal disease (esrd) treatment clinic/center providers in Paterson

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NPI record

NPI: 1720739055
Entity type: Organization (Type 2)
Issued: Jan 18, 2022
Last updated: Apr 8, 2025
Status: Active

Other names

<unavail>
West Paterson Dialysis · doing business as
West Paterson Dialysis · doing business as

Authorized official

Samuel Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1720739055

Kittery Dialysis LLC's National Provider Identifier is 1720739055, issued on Jan 18, 2022. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Paterson, NJ. The record was last updated on Apr 8, 2025.