PARKSIDE DIALYSIS CENTER
NPI 1104806785
Clinic/center, End-stage Renal Disease (esrd) Treatment in Plantation,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 19, 2006

Contact Information

7061 Cypress Rd
Plantation,
Post Code: 33317
Phone: (954) 474-7701
Fax: (954) 474-7702

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Parkside Dialysis Center in Plantation - Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

Parkside Dialysis Center is a Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Plantation, . Parkside Dialysis Center practices all healthcare services and medical treatments related to Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. The NPI Number for Parkside Dialysis Center is 1104806785. The last update date is 2020-08-22.

Parkside Dialysis Center's current location address is 7061 Cypress Rd, Plantation, . You can contact this provider via phone number (954) 474-7701 and fax number (954) 474-7702. The mailing address for Parkside Dialysis Center is 7061 Cypress Rd, Plantation, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104806785
Provider Legal Name
NEWARK RENAL CENTERS, LLC
Other Organization Name
PARKSIDE DIALYSIS CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
7061 Cypress Rd, Plantation,
Location Phone
(954) 474-7701
Location Fax
(954) 474-7702
Mailing Address
580 Frelinghuysen Ave, Newark, New Jersey(NJ)
Mailing Phone
973-624-2226
Mailing Fax
973-624-5547
Enumeration Date
2006-01-19
Last Update Date
2020-08-22
Code Navigator

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
-
License No.
40704
License State
New Jersey (NJ)
Taxonomy Description
-

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
4143809 MEDICAID (05) New Jersey (NJ)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104806785
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210416012716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 210416012716
2 + 1 + 0 + 4 + 1 + 6 + 0 + 1 + 2 + 7 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1104806785 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003819038 LESTER GOLDBERG
Individual
Radiology, Diagnostic Radiology 3501 JOHNSON ST
HOLLYWOOD, Florida (FL)
954-987-2000
1043213234 BHUPINDER S MANGAT
Individual
Specialist 1403 MEDICAL PLAZA DR
SANFORD, Florida (FL)
407-324-5500
1063415248 JORDAN DITCHEK
Individual
Radiology, Body Imaging 3501 JOHNSON ST
HOLLYWOOD, Florida (FL)
954-987-2000
1043213051 MARK S GOROVOY
Individual
Ophthalmology 12381 S CLEVELAND AVE STE 300
FORT MYERS, Florida (FL)
239-939-1444
1033112156 STACIA H GOLDEY
Individual
Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery 148 13TH ST SW
LARGO, Florida (FL)
727-581-8706