Kidney Life, LLC
Kidney Life, LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Plainfield, NJ, holding Type 2 (organization) NPI 1912936618 since 2006. The authorized official on file is Samuel Wey, Vp, Licensure & Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912936618 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kidney Life, LLC |
| Other name | <Unavail> |
| Practice address | 1200 RANDOLPH RD, Plainfield, NJ, 07060 |
| Phone | 9087576030 |
| Fax | 9087576282 |
| Enumeration date | 2006-07-03 |
| Last updated in NPPES | 2025-03-12 |
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 | 23079 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0981648 | Medicaid | NJ | — |
Copy-ready billing details
Provider: Kidney Life, LLC NPI: 1912936618 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 1200 RANDOLPH RD, Plainfield, NJ, 07060
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1841900248 | Rutgers-University Behavioral Health Care | Organization | Substance Use Disorder Rehabilitation Clinic/Center | Plainfield, NJ |
Verify this record
Cross-check NPI 1912936618 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
What is the NPI number for Kidney Life, LLC?
Who is the authorized official for Kidney Life, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-12.