OrganizationActive
Brookstone Dialysis LLC
NPI 1427762897 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jersey City, NJ
Provider details
- NPI number
- 1427762897
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Davita Inc
- Organization subpart
- Yes
- Authorized official
- Samuel Wey, Vp, Licensure & Certification(615) 320-4414
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
15 Carbon Pl
Jersey City, NJ 07305-5295
Phone: (551) 285-1016
Fax: (551) 285-1343
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Liberty Park Dialysis
- Doing business as
- Liberty Park Dialysis
Registry dates
- Enumerated
- 2023-01-10
- Last updated
- 2024-01-03
- Certified
- 2024-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.