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BRICKTOWN DIALYSIS CENTER
NPI 1598799439
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Brick, NJ

Active since July 10, 2006
525 JACK MARTIN BLVD, STE 200, BRICK, NJ 08724(732) 836-9669(732) 836-9709 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Jul 21, 2020, Dec 26, 2018 (3 updates tracked since 2018).

About Bricktown Dialysis Center NPPES

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

BRICKTOWN DIALYSIS CENTER (NPI 1598799439) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Brick, New Jersey and active in the NPI registry since July 2006. The organization lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1598799439
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSHINING STAR DIALYSIS INC
Location Address525 JACK MARTIN BLVD, STE 200Brick, NJ 08724-7737
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 341-6410 · Fax (888) 662-8259
Phone(732) 836-9669
Fax(732) 836-9709
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateJuly 10, 2006
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1598799439 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 · 22882
525 JACK MARTIN BLVD, Brick, NJ 08724
Open in Google Maps ↗

Other Names 1

Doing Business AsBricktown Dialysis Center

Other Identifiers 1

Medicaid0017183NJ

Other Providers at the Same Location NPPES 14

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

THOMPSON MEDICAL AND CHIROPRACTIC LLC
Physical Medicine & Rehabilitation
525 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-1020
MRS. ELIZABETH FLORES NEPOMUCENO MD
Pediatrics
525 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 458-1177
MRS. DEBORAH ANN MILLER APN
Nurse Practitioner (Adult Health)
525 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-1020
MR. LIONEL DIAZ FOZ MD
Pediatrics
525 JACK MARTIN BLVD, SUTE 102
BRICK, NJ 08724
Ocean County (732) 458-1177
PEDIATRIC MEDICAL GROUP OF CENTRAL JERSEY
Pediatrics
525 JACK MARTIN BLVD, SUITE 102
BRICK, NJ 08724
Ocean County (732) 458-1177
COASTAL GASTROENTEROLOGY ASSOCIATES, P.A.
Internal Medicine
525 JACK MARTIN BLVD, SUITE 300
BRICK, NJ 08724
Ocean County (732) 840-0067
DR. BRIAN WOLFMAN M.D., MSC
Internal Medicine
525 JACK MARTIN BLVD, 300
BRICK, NJ 08724
Ocean County (732) 840-0067
VIRGILIO MANGONON M.D.
Anesthesiology
525 JACK MARTIN BLVD, SUITE 300
BRICK, NJ 08724
Ocean County (732) 840-0067

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 Shining Star Dialysis Inc's NPI number?

The NPI number for Shining Star Dialysis Inc is 1598799439. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Bricktown Dialysis Center.

Where is Shining Star Dialysis Inc located?

Shining Star Dialysis Inc is located at 525 Jack Martin Blvd Ste 200, Brick, NJ 08724. The listed phone number is (732) 836-9669.

What is Shining Star Dialysis Inc'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 Shining Star Dialysis Inc was last updated on January 12, 2021. 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.