LIBERTY DIALYSIS-BERLIN LLC
NPI 1578678165
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Berlin, NJ

NPI Status: Active since August 21, 2006

Contact Information

30 TANSBORO RD
BERLIN, NJ
ZIP 08009
Phone: (856) 809-0036
Fax: (856) 856-8090

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance

About LIBERTY DIALYSIS-BERLIN LLC

This page provides the complete NPI Profile along with additional information for Liberty Dialysis-berlin Llc, a provider established in Berlin, New Jersey operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1578678165 assigned on August 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Liberty Dialysis-berlin Llc. The authorized official of this NPI record is Barry L. Blanton (Vice President)

NPI
1578678165
Provider Legal Name
LIBERTY DIALYSIS-BERLIN LLC
Other Organization Name
LIBERTY DIALYSIS-BERLIN LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
30 TANSBORO RD BERLIN, NJ 08009
Location Phone
(856) 809-0036
Location Fax
(856) 856-8090
Mailing Address
30 TANSBORO RD BERLIN, NJ 08009
Mailing Phone
(856) 809-0036
Mailing Fax
(856) 856-8090
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-21-2006
Last Update Date
10-17-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 10: $0 PCP at Aetna network & MinuteClinic Primary Care + $0 CVS Health Virtual Care - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 10: $0 PCP at Aetna network & MinuteClinic Primary Care + $0 CVS Health Virtual Care - HMO
  • Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BARRY L. BLANTON

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(781) 699-9000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0140643MEDICAID (05)NJ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578678165
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514812716112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 2 + 7 + 1 + 6 + 1 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1578678165 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770690711BERLIN DIALYSIS CENTER
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)30 TANSBORO RD
BERLIN, NJ 08009
(856) 809-0036

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578678165, enumerated in the NPI registry as an "organization" on August 21, 2006

The provider is located at 30 Tansboro Rd Berlin, Nj 08009 and the phone number is (856) 809-0036

This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment

The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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