Dialysis Center of Mountainside LLC
NPI 1629564653 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · East Orange, NJ
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dialysis Center of Mountainside LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in East Orange, NJ (NPI 1629564653).
Provider details
- NPI number
- 1629564653
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sara Brady, Chief Nursing Officer(208) 371-7878
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dialysis Center of East Orange
Registry dates
- Enumerated
- 2018-07-02
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Frequently asked questions
- What is Dialysis Center of Mountainside LLC's NPI number?
- Dialysis Center of Mountainside LLC's National Provider Identifier (NPI) is 1629564653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dialysis Center of Mountainside LLC?
- Dialysis Center of Mountainside LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dialysis Center of Mountainside LLC located?
- Dialysis Center of Mountainside LLC's practice location on file with NPPES is 20 Sussex Avenue, East Orange, NJ 07018-4228.
- What is Dialysis Center of Mountainside LLC's phone number?
- The practice phone number listed in the NPPES registry for Dialysis Center of Mountainside LLC is (973) 266-1093.
- Does Dialysis Center of Mountainside LLC accept Medicare?
- Dialysis Center of Mountainside LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dialysis Center of Mountainside LLC?
- The authorized official listed on Dialysis Center of Mountainside LLC's NPPES record is Sara Brady, Chief Nursing Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dialysis Center of Mountainside LLC's NPI active?
- Yes — Dialysis Center of Mountainside LLC's NPI (1629564653) is active in the NPPES registry as of the last update on 2026-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.