DIALYSIS SERVICES OF NJ INC-MANAHAWKIN NPI 1417910902

NPI Information

NPI: 1417910902
Provider Name: DIALYSIS SERVICES OF NJ INC-MANAHAWKIN

Doing Business As: U S RENAL CARE MANAHAWKIN DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
675 ROUTE 72 E
SUITE 1006-B
MANAHAWKIN, NJ
ZIP 08050
Phone: (609) 978-6723
Get Directions

DIALYSIS SERVICES OF NJ INC-MANAHAWKIN is an end-stage renal disease (esrd) treatment clinic center in Manahawkin, NJ. DIALYSIS SERVICES OF NJ INC-MANAHAWKIN NPI is 1417910902. The provider is registered as an organization entity type.
The provider Is Doing Business As U S Renal Care Manahawkin Dialysis.

The provider's business location address is:

675 ROUTE 72 E
SUITE 1006-B
MANAHAWKIN, NJ
ZIP 08050-501
Phone: (609) 978-6723
Fax: (609) 978-6730

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Vice President & Secretary and has the following contact phone number (214) 736-2700.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 6/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2206019	OTHER	NEW JERSEY	AETNA US HEALTHCARE
2	A2019304	OTHER	NEW JERSEY	OXFORD HEALTH
3	7881801	MEDICAID	NEW JERSEY
4	=========	OTHER	NEW JERSEY	TRICARE
5	0000474000	OTHER	NEW JERSEY	AMERIHEALTH NJ
6	7078046	OTHER	NEW JERSEY	AETNA
7	7881801	OTHER	NEW JERSEY	AMERICHOICE
8	953402799	OTHER	NEW JERSEY	AETNA MEDICARE HMO
9	60001769	OTHER	NEW JERSEY	KEYSTONE MERCY
10	7278046	OTHER	NEW JERSEY	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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