Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kidney Life, LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1063665586

Kidney Life, LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Newark, New Jersey. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

571 Central Ave
Newark, NJ 07107-1463
Phone: (973) 484-4994
Fax: (973) 484-4434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1063665586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Winstel — Chief Accounting Officer · (253) 733-4501
Other names Renal Center Of Newark
NPI enumeratedOctober 28, 2008
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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