{"npi":"1053387738","type":"NPI-2","status":"active","name":{"display":"Physicians Dialysis Acquisitions INC","other":[],"organization_name":"PHYSICIANS DIALYSIS ACQUISITIONS INC","authorised_official":"Samuel Wey"},"specialty":{"primary_taxonomy":"261QE0700X","primary_taxonomy_description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","slug":"end-stage-renal-disease-esrd-treatment-clinic-center","schema_org_specialty":null,"all":[{"code":"261QE0700X","description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","primary":true,"state":"CT","license":"270"}]},"addresses":[{"purpose":"LOCATION","street_1":"30 WATERCHASE DR","city":"ROCKY HILL","state":"CT","postal_code":"060672110","country_code":"US","phone":"8605636000","fax":"8602573895"},{"purpose":"MAILING","street_1":"5200 VIRGINIA WAY","city":"BRENTWOOD","state":"TN","postal_code":"370277569","country_code":"US","street_2":"L&C DEPT"}],"license":{"state":"CT","number":"270"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"004219178","state":"CT","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20041129000061","type_code":"00-03","type_desc":"PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)","state":"CT","pac_id":"2769399666"}]},"enumeration_date":"2006-02-23","last_updated":"2025-01-09","_meta":{"source":"NPPES","snapshot_date":"2025-01-09","doc_url":"https://findmynpi.com/api"}}