MEDICARE: NNA-SAINT BARNABAS-LIVINGSTON, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number	:	1700981081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NNA-SAINT BARNABAS-LIVINGSTON, L.L.C.

Provider Business Mailing Address
First Line	:	5 REGENT ST BLDG 5N
Second Line	:	SUITE 504
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-1675
Country	:	US
Telephone Number	:	973-322-7150
Fax Number	:	973-322-7160

Provider Business Practice Location Address
First Line	:	5 REGENT ST BLDG 5N
Second Line	:	SUITE 504
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-1675
Country	:	US
Telephone Number	:	973-322-7150
Fax Number	:	973-322-7160

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MICHELLE CARVER
Credential	:
Telephone Number	:	781-676-5200

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	03/19/2026

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