NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kidney Life, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Brunswick, NJ · enumerated 2011 · authorized official Samuel Wey, Vp, Licensure & Certification.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194009274

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Kidney Life, LLC
Other name <Unavail>
Practice address 303 George St, Ste G-8, New Brunswick, NJ, 08901
Phone (732) 937-4791
Fax (732) 937-4795
Enumeration date Oct 6, 2011
Last updated in NPPES May 1, 2024

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities · License 24476 (NJ) Primary

Authorized official

Name Samuel Wey
Title Vp, Licensure & Certification
Phone (615) 341-6641

Other identifiers

Identifier Type State Issuer
0966398 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Kidney Life, LLC?
Kidney Life, LLC is registered in NPPES as a End-Stage Renal Disease (ESRD) Treatment Clinic/Center (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-01.