HOLY NAME HOSPITAL REGIONAL DIALYSIS CENTER
NPI 1043389349
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Teaneck, NJ

Q: What is Holy Name Hospital Regional Dialysis Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since November 08, 2006CLIA 31D0862033 · Accreditation

718 TEANECK RD, TEANECK, NJ 07666(201) 833-3000(201) 833-4486 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Holy Name Hospital Regional Dialysis Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLY NAME HOSPITAL REGIONAL DIALYSIS CENTER (NPI 1043389349) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Teaneck, New Jersey and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Suzanne Juliano, Director, Dialysis Center, as its authorized official.

NPPES Registry Identity

NPI1043389349

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameHOLY NAME HOSPITAL REGIONAL DIALYSIS CENTER

Location Address718 TEANECK RDTeaneck, NJ 07666-4245

Mailing Address718 Teaneck RdTeaneck, NJ 07666-4245 · (201) 833-3000 · Fax (201) 833-4486

Phone(201) 833-3000

Fax(201) 833-4486

Organization SubpartNo

Authorized OfficialSuzanne JulianoDirector, Dialysis Center · (201) 833-3000

Enumeration DateNovember 8, 2006

Last NPPES UpdateJuly 13, 2007

✔ NPI 1043389349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

718 TEANECK RD, Teaneck, NJ 07666

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Other Identifiers 2

Medicare ID-Type Unspecified312302NJ

Medicaid4135407NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 31D0862033

Holy Name Hospital Laboratory · Teaneck, NJ

Active · expires Feb 27, 2027

CLIA Number31D0862033

Laboratory TypeHospital

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorDr. Drew A. Olsen

Laboratory Phone(201) 833-3246

Laboratory LocationHoly Name Hospital Laboratory718 Teaneck Road, Teaneck, NJ 07666

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESSON ST YEH M.D.

Emergency Medicine