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Kidney Life, LLC

Kidney Life, LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hillside, NJ, holding Type 2 (organization) NPI 1851650683 since 2012. The authorized official on file is Samuel Wey, Vp, Licensure & Certification.

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NPI 1851650683
Entity type Organization (Type 2)
Legal business name Kidney Life, LLC
Other name <Unavail>
Practice address 1529 N BROAD ST, Hillside, NJ, 07205
Phone 9734741199
Fax 9734741198
Enumeration date 2012-05-14
Last updated in NPPES 2025-03-11

Authorized official

Name Samuel Wey
Title Vp, Licensure & Certification
Phone 6153416691

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 24065 NJ

Other identifiers

Identifier Type State Issuer
0976911 Medicaid NJ
Copy-ready billing details
Provider: Kidney Life, LLC
NPI: 1851650683
Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center)
Address: 1529 N BROAD ST, Hillside, NJ, 07205

Providers at this address

NPI Name Type Specialty Location
1366461527 Newark Renal Centers, LLC Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center Hillside, NJ

Verify this record

Cross-check NPI 1851650683 against the authoritative CMS record: view Kidney Life, LLC on the official NPPES registry .

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 or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-03-11. Verify at npiregistry.cms.hhs.gov.
Where is Kidney Life, LLC located?
The practice location on file with NPPES is in Hillside, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-11.