Organization · Type 2 NPI

Kidney Life, LLC

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

NPI number 1780943514 Active

Practice location

580 Frelinghuysen Ave
Newark, NJ 07114-1361

Call (973) 733-9450 Map

Fax (973) 733-9455

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...

Another provider at this address

Newark Renal Centers, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Newark, NJ NPI 1104806785

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

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NPI record

NPI: 1780943514
Entity type: Organization (Type 2)
Issued: May 14, 2012
Last updated: Aug 22, 2025
Status: Active

Other names

<unavail>
Parkside Dialysis · doing business as
Parkside Dialysis · doing business as

Authorized official

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

Verify this record

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 1780943514

Kidney Life, LLC's National Provider Identifier is 1780943514, issued on May 14, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Newark, NJ. The record was last updated on Aug 22, 2025.