St Josephs Wayne Dialysis

LBN: Simeon Dialysis Llc
St Josephs Wayne Dialysis is an health care organization with primary practice located at 57 Willowbrook Blvd Fl 2, Wayne NJ 07470-7045. 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. Simeon Dialysis Llc can be contacted via phone (973) 890-2792, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
57 Willowbrook Blvd Fl 2 Wayne NJ 07470-7045
Fax: (973) 890-2796
Website:
Authorized official contact:
Name: Winstel, John D

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 22344 New Jersey

Profile Details

NPI number 1205104841
LBN Legal business name Simeon Dialysis Llc
DBA Doing business as St Josephs Wayne Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2011
Last updated Mar 31st, 2021 - about 5 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 1205104841 NPPES
New Jersey MEDICAID 0297852

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