RENAL CENTER OF SEWELL LLC NPI 1043235948

NPI Information

  • NPI: 1043235948
  • Provider Name: RENAL CENTER OF SEWELL, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: RENAL CENTER OF SEWELL
  • CLIA Number: 31D0998412
  • Address: 660 WOODBURY GLASSBORO RD
    STE 29
    SEWELL, NJ
    ZIP 08080
  • Phone: (856) 464-1172

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NPI Details

RENAL CENTER OF SEWELL, LLC is an end-stage renal disease (esrd) treatment clinic center in Sewell, NJ. RENAL CENTER OF SEWELL, LLC NPI is 1043235948. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Center Of Sewell.

The provider's business location address is:

660 WOODBURY GLASSBORO RD
STE 29
SEWELL, NJ
ZIP 08080-738
Phone: (856) 464-1172
Fax: (856) 464-5281

The provider's authorized official is Samuel Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 31D0998412 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 1/10/2024.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment007962NEW JERSEYYes

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
18989001MEDICAIDNEW JERSEY

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: 3/30/2025

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