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: July 19, 2026.

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

About KIDNEY CENTER OF VINELAND LLC

This page provides the complete NPI Profile along with additional information for Kidney Center Of Vineland Llc, a provider established in Vineland, 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 1619907417 assigned on July 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mrs. Beverly Ediss (Government Billing Supervisor)

NPI
1619907417 Verify this NPI
Provider Name
KIDNEY CENTER OF VINELAND LLC
Entity Type
Organization
Location Address
1318 S MAIN RD VINELAND, NJ 08360
Location Phone
(856) 575-4742
Location Fax
(856) 451-5269
Mailing Address
333 IRVING AVE BRIDGETON, NJ 08302
Mailing Phone
(856) 575-4742
Mailing Fax
(856) 451-5269
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-04-2006
Last Update Date
05-30-2008
Code Navigator

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

Insurance Plans Accepted

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

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

MRS. BEVERLY EDISS

Authorized Official Title
GOVERNMENT BILLING SUPERVISOR
Authorized Official Phone
(856) 575-4742

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
0004090MEDICAID (05)NJ 
312566MEDICARE OSCAR/CERTIFICATION (06) 

Reviews for KIDNEY CENTER OF VINELAND LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
1318 S MAIN RD
VINELAND, NJ 08360
Internal Medicine (Nephrology)
1318 S MAIN RD, BUILDING #3
VINELAND, NJ 08360
Ophthalmology
1318 S MAIN RD, BLDG. 2A
VINELAND, NJ 08360
Ophthalmology
1318 S MAIN RD, BLDG. 2A
VINELAND, NJ 08360
Pediatrics
1318 S MAIN RD, BUILDING 1
VINELAND, NJ 08360
Social Worker
1318 S MAIN RD, SUITE 3
VINELAND, NJ 08360
Dentist (Oral and Maxillofacial Surgery)
1318 S MAIN RD, BLDG 4 SUITE B
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
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1318 S MAIN RD, STE 3B
VINELAND, NJ 08360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619907417, enumerated as an "organization" on July 04, 2006.

The provider is located at 1318 S MAIN RD VINELAND, NJ 08360 and the phone number is (856) 575-4742.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.