PARKSIDE DIALYSIS CENTER
NPI 1104806785
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Newark, NJ

Q: What is Newark Renal Centers, LLC's NPI number?

The NPI number for Newark Renal Centers, LLC is 1104806785. It was assigned to this organization in the NPPES registry on January 19, 2006. The provider is doing business as Parkside Dialysis Center.

Q: What is Newark Renal Centers, LLC'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 January 19, 2006CLIA 31D0938869 · Waiver

580 FRELINGHUYSEN AVE, NEWARK, NJ 07114(973) 624-2226(973) 624-5547 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Parkside Dialysis Center NPPES

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

PARKSIDE DIALYSIS CENTER (NPI 1104806785) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Newark, New Jersey and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through January 14, 2028 and lists Vicki L Burrier, Director/vice-president, as its authorized official.

NPPES Registry Identity

NPI1104806785

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameNEWARK RENAL CENTERS, LLC

Location Address580 FRELINGHUYSEN AVENewark, NJ 07114-1324

Mailing Address7061 Cypress Rd, Suite 104Plantation, FL 33317-2243 · (954) 474-7701 · Fax (954) 474-7702

Phone(973) 624-2226

Fax(973) 624-5547

Organization SubpartNo

Authorized OfficialVicki L BurrierDirector/vice-president · (954) 474-7701

Enumeration DateJanuary 19, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104806785 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

License✔ Licensed in NJ · 40704

580 FRELINGHUYSEN AVE, Newark, NJ 07114

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Other Names 1

Doing Business AsParkside Dialysis Center

Other Identifiers 1

Medicaid4143809NJ

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 Waiver 31D0938869

Parkside Dialysis · Newark, NJ

Active · expires Jan 14, 2028

CLIA Number31D0938869

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJanuary 15, 2026

Certificate Expiration DateJanuary 14, 2028

Laboratory DirectorMelvin Goldblat MD

Laboratory Phone(973) 624-2226

Laboratory LocationParkside Dialysis580 Frelinghuysen Avenue, Newark, NJ 07112

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KIDNEY LIFE, LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

580 FRELINGHUYSEN AVE
NEWARK, NJ 07114

Essex County (973) 733-9450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Newark Renal Centers, LLC's NPI number?

The NPI number for Newark Renal Centers, LLC is 1104806785. It was assigned to this organization in the NPPES registry on January 19, 2006. The provider is doing business as Parkside Dialysis Center.

Where is Newark Renal Centers, LLC located?

Newark Renal Centers, LLC is located at 580 Frelinghuysen Ave, Newark, NJ 07114. The listed phone number is (973) 624-2226.

What is Newark Renal Centers, LLC's specialty?

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

Does Newark Renal Centers, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0938869) is associated with this NPI, valid through January 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newark Renal Centers, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.