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

Northeast Philadelphia Dialysis Center LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1093229809

Northeast Philadelphia Dialysis Center LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Philadelphia, Pennsylvania. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2017.

CMS rating
3 of 5
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 392876)

Practice location Address checks out

9815 Roosevelt Blvd Ste 1-A
Philadelphia, PA 19114-1035
Phone: (215) 330-0494
Fax: (215) 330-0495
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

Record details

NPI number1093229809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Brady — Chief Nursing Officer · (208) 371-7878
NPI enumeratedDecember 1, 2017
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address9815 Roosevelt Blvd Ste 1-A, Philadelphia, PA 19114-1035

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