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

Kidney Life, LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1851650683

Kidney Life, LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hillside, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in
NJ
In the registry since
2012
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

1529 N Broad St
Hillside, NJ 07205-1603
Phone: (973) 474-1199
Fax: (973) 474-1198
Show map & directions

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 · Licence 24065 (NJ)

Record details

NPI number1851650683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6691
Other names Hillside Dialysis; Hillside Dialysis
NPI enumeratedMay 14, 2012
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address5200 Virginia Way, L & C Dept, Brentwood, TN 37027-7569

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