SIMEON DIALYSIS LLC
NPI 1205104841
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Wayne, NJ

NPI Status: Active since December 11, 2011

Contact Information

57 WILLOWBROOK BLVD
FL 2
WAYNE, NJ
ZIP 07470
Phone: (973) 890-2792
Fax: (973) 890-2796

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance

About SIMEON DIALYSIS LLC

This page provides the complete NPI Profile along with additional information for Simeon Dialysis Llc, a provider established in Wayne, New Jersey operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1205104841 assigned on December 2011. The practitioner's primary taxonomy code is 261QE0700X with license number 22344 (NJ). The provider is registered as an organization and their NPI record was last updated June 2026. The provider's . The authorized official of this NPI record is Samuel Wey (Vp, Licensure & Certification)

NPI
1205104841
Provider Legal Name
SIMEON DIALYSIS LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
57 WILLOWBROOK BLVD FL 2 WAYNE, NJ 07470
Location Phone
(973) 890-2792
Location Fax
(973) 890-2796
Mailing Address
5200 VIRGINIA WAY L&C DEPT BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2011
Last Update Date
06-15-2026
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

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

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
22344
License State
NJ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Gold Elite Saver Plus - HMO
  • Silver Classic Standard - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with Atrium Health - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with Atrium Health - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health - HMO
  • Bronze Simple Chronic Care CKM | with Atrium Health - HMO
  • Bronze Simple Diabetes | with Atrium Health - HMO
  • Gold Classic Standard - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Buena Salud Bronce Simple Para Diabetes - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Gold Simple - HMO
  • Gold Simple Diabetes - HMO
  • Bronze Classic - EPO
  • Bronze Classic | with Bryan Health - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard - PPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Classic Standard | with Bryan Health - EPO
  • Bronze Elite + PCP Saver - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Classic PCP Saver | Cleveland Clinic - HMO
  • Bronze Classic Standard | Cleveland Clinic - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic - HMO
  • Bronze Simple Chronic Care CKM | Cleveland Clinic - HMO
  • Bronze Simple Diabetes | Cleveland Clinic - HMO
  • Bronze Simple HSA | Cleveland Clinic - HMO
  • Gold Classic Standard | Cleveland Clinic - HMO
  • Gold Elite | Cleveland Clinic - HMO
  • Gold Elite Saver Plus | Cleveland Clinic - HMO
  • Silver Classic Standard | Cleveland Clinic - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMUEL WEY

Authorized Official Title
VP, LICENSURE & CERTIFICATION
Authorized Official Phone
(615) 341-6641

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0297852MEDICAID (05)NJ 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205104841, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 2 + 0 + 8 + 8 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1205104841.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Pediatrics (Adolescent Medicine)
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470
Pediatrics (Adolescent Medicine)
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470
Pediatrics (Adolescent Medicine)
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470
Pediatrics (Adolescent Medicine)
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470
Obstetrics & Gynecology
57 WILLOWBROOK BLVD
WAYNE, NJ 07470
Obstetrics & Gynecology
57 WILLOWBROOK BLVD, SECOND FLOOR
WAYNE, NJ 07470
Obstetrics & Gynecology (Maternal & Fetal Medicine)
57 WILLOWBROOK BLVD, SUITE 301
WAYNE, NJ 07470
Obstetrics & Gynecology (Reproductive Endocrinology)
57 WILLOWBROOK BLVD
WAYNE, NJ 07470
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
57 WILLOWBROOK BLVD, 2ND FLOOR
WAYNE, NJ 07470
Ophthalmology
57 WILLOWBROOK BLVD, SUITE 411
WAYNE, NJ 07470
Ophthalmology
57 WILLOWBROOK BLVD, SUITE 411
WAYNE, NJ 07470
Ophthalmology
57 WILLOWBROOK BLVD, SUITE 411
WAYNE, NJ 07470
Family Medicine
57 WILLOWBROOK BLVD
WAYNE, NJ 07470
Obstetrics & Gynecology
57 WILLOWBROOK BLVD, SUITE 301
WAYNE, NJ 07470
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
57 WILLOWBROOK BLVD
WAYNE, NJ 07470
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
57 WILLOWBROOK BLVD
WAYNE, NJ 07470
Pediatrics
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205104841, enumerated as an "organization" on December 11, 2011.

The provider is located at 57 WILLOWBROOK BLVD FL 2 WAYNE, NJ 07470 and the phone number is (973) 890-2792.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Oscar Health Insurance, Oscar Health Maintenance. Please consult your insurance carrier or call the provider to verify.