Liberty Dialysis-Berlin Llc

LBN: Liberty Dialysis-Berlin Llc
Liberty Dialysis-Berlin Llc is an health care organization with primary practice located at 30 Tansboro Rd , Berlin NJ 08009-1948. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Liberty Dialysis-Berlin Llc can be contacted via phone (856) 809-0036, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
30 Tansboro Rd Berlin NJ 08009-1948
Phone: (856) 809-0036
Fax: (856) 856-8090
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Barry L.
Phone: (781) 699-9000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1578678165
LBN Legal business name Liberty Dialysis-Berlin Llc
DBA Doing business as Liberty Dialysis-Berlin Llc
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 21st, 2006
Last updated Oct 17th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578678165 NPPES
New Jersey MEDICAID 0140643

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