Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Northeast Philadelphia Dialysis Center LLC

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

Northeast Philadelphia Dialysis Center LLC provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Philadelphia, Pennsylvania. Registered with an NPI since 2017.

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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Practice location Address checks out

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

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

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