1. Home
  2. Directory
  3. New York
  4. Newark
  5. Clinic Center
  6. NPI Profile

NEWARK WAYNE DIALYSIS CENTER
NPI 1215379078
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Newark, NY

Active since July 22, 2013
1120 S MAIN ST, NEWARK, NY 14513(315) 331-6958(315) 331-6521 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2020, Apr 6, 2020, Feb 28, 2020 and 1 more (4 updates tracked since 2018).

About Newark Wayne Dialysis Center NPPES

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

NEWARK WAYNE DIALYSIS CENTER (NPI 1215379078) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Newark, New York and active in the NPI registry since July 2013. The organization lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1215379078
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameENCHANTED DIALYSIS LLC
Location Address1120 S MAIN STNewark, NY 14513-2171
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569 · (615) 341-6410 · Fax (888) 662-8259
Phone(315) 331-6958
Fax(315) 331-6521
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateJuly 22, 2013
Last NPPES UpdateOctober 8, 20204 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1215379078 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
1120 S MAIN ST, Newark, NY 14513
Open in Google Maps ↗

Other Names 1

Doing Business AsNewark Wayne Dialysis Center

Other Identifiers 1

Medicaid03871836NY

Other Providers at the Same Location NPPES 2

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

MRS. CAROL A QUAGLIATA RN
Registered Nurse
1120 S MAIN ST
NEWARK, NY 14513
Wayne County (315) 331-7990
ZAIDA H PARK RN
Registered Nurse
1120 S MAIN ST
NEWARK, NY 14513
Wayne County (315) 331-7990

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 Enchanted Dialysis LLC's NPI number?

The NPI number for Enchanted Dialysis LLC is 1215379078. It was assigned to this organization in the NPPES registry on July 22, 2013. The provider is doing business as Newark Wayne Dialysis Center.

Where is Enchanted Dialysis LLC located?

Enchanted Dialysis LLC is located at 1120 S Main St, Newark, NY 14513. The listed phone number is (315) 331-6958.

What is Enchanted Dialysis 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.

When was this NPI record last updated?

The NPPES record for Enchanted Dialysis LLC was last updated on October 8, 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.