ST. JOSEPH'S DIALYSIS - NORTHEAST
NPI 1174760573
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fayetteville, NY

Q: What is Sjls, LLC's NPI number?

The NPI number for Sjls, LLC is 1174760573. It was assigned to this organization in the NPPES registry on January 7, 2009. The provider is doing business as St. Joseph's Dialysis - Northeast.

Q: What is Sjls, 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.

Q: What quality rating does Sjls, LLC have?

CMS rates FMC St. Joseph's - Northeast 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Q: When was this NPI record last updated?

The NPPES record for Sjls, LLC was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 07, 2009CLIA 33D2273761 · Waiver

3/5

Overall Rating

4105 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066(315) 329-2580(315) 329-7203 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, Aug 7, 2021 (2 updates tracked since 2021).

On this page

About St. Joseph's Dialysis - Northeast NPPES

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

ST. JOSEPH'S DIALYSIS - NORTHEAST (NPI 1174760573) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fayetteville, New York and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1174760573

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameSJLS, LLC

Location Address4105 MEDICAL CENTER DRFayetteville, NY 13066-6636

Mailing Address4105 Medical Center DrFayetteville, NY 13066-6636 · (315) 329-2580 · Fax (315) 329-7203

Phone(315) 329-2580

Fax(315) 329-7203

Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.

Authorized OfficialBarry L. BlantonVice President · (781) 699-9000

Enumeration DateJanuary 7, 2009

Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration

NPPES CertifiedOctober 17, 2023

✔ NPI 1174760573 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

4105 MEDICAL CENTER DR, Fayetteville, NY 13066

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Other Names 1

Doing Business AsSt. Joseph's Dialysis - Northeast

Other Identifiers 1

Medicaid03204491NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan, Inc. and more.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 Waiver 33D2273761

St Joseph's Dialysis - Northeast · Fayetteville, NY

Active · expires Mar 26, 2027

CLIA Number33D2273761

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateDecember 19, 2022

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Pawan K. Rao

Laboratory Phone(315) 329-2580

Laboratory LocationSt Joseph's Dialysis - Northeast4105 Medical Center Dr - 1st Fl Rm 105, Fayetteville, NY 13066

CLIA data matches this NPI record on: Address Name Phone

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

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for FMC St. Joseph's - Northeast (CMS certification number 332667), from CMS Care Compare.

FMC St. Joseph's - Northeast

Dialysis facility · Fayetteville, NY

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainFresenius Medical Care

CMS Certification Number332667

ESRD NetworkNetwork 2

Hemodialysis Stations12

Medicare-Certified SinceJuly 1, 2009

Location4105 Medical Center DriveFayetteville, NY 13066 · Onondaga County

Phone(315) 329-2580

Services Offered

In-center hemodialysis

Other Providers at the Same Location NPPES

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

ST JOSEPH'S HOSPITAL HEALTH CENTER

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

4105 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 329-7200

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 Sjls, LLC's NPI number?

The NPI number for Sjls, LLC is 1174760573. It was assigned to this organization in the NPPES registry on January 7, 2009. The provider is doing business as St. Joseph's Dialysis - Northeast.

Where is Sjls, LLC located?

Sjls, LLC is located at 4105 Medical Center Dr, Fayetteville, NY 13066. The listed phone number is (315) 329-2580.

What is Sjls, 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 Sjls, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2273761) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sjls, LLC a Medicare-certified dialysis facility?

Yes. FMC St. Joseph's - Northeast is a Medicare-certified dialysis facility, certified since July 1, 2009.

What quality rating does Sjls, LLC have?

CMS rates FMC St. Joseph's - Northeast 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Sjls, LLC accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan, Inc., Oscar Insurance Company and Oscar Insurance Corporation of Ohio list Sjls, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sjls, LLC was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.