KIDNEY CENTER OF VINELAND LLC
NPI 1619907417
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Vineland, NJ

Active since July 04, 2006
1318 S MAIN RD, VINELAND, NJ 08360(856) 575-4742(856) 451-5269 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kidney Center Of Vineland Llc NPPES

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

KIDNEY CENTER OF VINELAND LLC (NPI 1619907417) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Vineland, New Jersey and active in the NPI registry since July 2006. The organization lists Beverly Ediss, Government Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1619907417
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKIDNEY CENTER OF VINELAND LLC
Location Address1318 S MAIN RDVineland, NJ 08360-6516
Mailing Address333 Irving AveBridgeton, NJ 08302-2123 · (856) 575-4742 · Fax (856) 451-5269
Fax(856) 451-5269
Organization SubpartNo
Authorized OfficialBeverly EdissGovernment Billing Supervisor · (856) 575-4742
Enumeration DateJuly 4, 2006
Last NPPES UpdateMay 30, 2008
NPI 1619907417 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
1318 S MAIN RD, Vineland, NJ 08360

Other Identifiers 2

Medicaid0004090NJ
Medicare OSCAR/certification312566

Other Providers at the Same Location NPPES 10

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

Pediatrics
1318 S MAIN RD, BUILDING 1
VINELAND, NJ 08360
Dentist (Oral and Maxillofacial Surgery)
1318 S MAIN RD, BLDG 4 SUITE B
VINELAND, NJ 08360
Social Worker
1318 S MAIN RD, SUITE 3
VINELAND, NJ 08360
Nurse Practitioner (Pediatrics)
1318 S MAIN RD
VINELAND, NJ 08360
Ophthalmology
1318 S MAIN RD, BLDG. 2A
VINELAND, NJ 08360
Internal Medicine (Nephrology)
1318 S MAIN RD, BUILDING #3
VINELAND, NJ 08360
Nurse Practitioner (Family)
1318 S MAIN RD, 4A
VINELAND, NJ 08360
Internal Medicine (Nephrology)
1318 S MAIN RD, BUILDING #3
VINELAND, NJ 08360

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 Kidney Center Of Vineland LLC's NPI number?

The NPI number for Kidney Center Of Vineland LLC is 1619907417. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Kidney Center Of Vineland LLC located?

Kidney Center Of Vineland LLC is located at 1318 S Main Rd, Vineland, NJ 08360. The listed phone number is (856) 575-4742.

What is Kidney Center Of Vineland 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 Kidney Center Of Vineland LLC was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.