SPRAGUE DIALYSIS LLC (NPI# 1093270696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093270696 |
| Entity Type | Organization |
| Organization Name | SPRAGUE DIALYSIS LLC |
| Other Organization Name | MAYS LANDING DIALYSIS |
| Practice Address |
4403 Black Horse Pike Ste Ll04 Mays Landing NJ 08330-3103 |
| Mailing Address |
5200 Virginia Way L and C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6098132050 |
| Practice Fax Number | 6098132055 |
| Mailing Telephone | 6153204414 |
| Mailing Fax Number | 8668652884 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | JAMES HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 3105362400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mays Landing Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972047918 | Sprague Dialysis LLC | Clinic/Center | 1318 S Main Rd, Ste 3b, Vineland, NJ 08360-6516 | 2016-12-09 |
| 1255875290 | Sprague Dialysis LLC | Clinic/Center | 3 Elizabeth St, Millville, NJ 08332 | 2016-12-09 |
| 1639613649 | Sprague Dialysis LLC | Clinic/Center | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2016-12-09 |
| Street Address |
4403 BLACK HORSE PIKE STE LL04 |
| City | MAYS LANDING |
| State | NJ |
| Zip Code | 08330-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463169 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Wrangleboro Rd, Mays Landing, NJ 08330 | 2020-09-28 |
| 1790308708 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Substance Abuse Rehabilitation Facility | 1455 Pinewood Blvd, Mays Landing, NJ 08330 | 2020-05-26 |
| 1306478458 | Kinjal Chaudhary | Optometrist | 510 Consumer Square, Mays Landing, NJ 08330 | 2020-02-06 |
| 1730721721 | Stacey R Gelman | Physician Assistant | 1161 New Jersey 50, Suite L, Mays Landing, NJ 08330 | 2019-10-11 |
| 1790254159 | Atlantic Apothecary | Pharmacy | 505 Hamilton Commons, Mays Landing, NJ 08330 | 2018-11-15 |
| 1205334059 | Mandy S Liberty | Registered Nurse | 5809 Main Street, St Vincent De Paul Regional School, Mays Landing, NJ 08330 | 2018-01-26 |
| 1447613104 | Heather Dugandzic | Pharmacist | 4454 Blackhorse Pike, Mays Landing, NJ 08330 | 2016-03-31 |
| 1588037527 | Caringhouse Projects, Inc | Respite Care | 5905 Buttercup Lane, Mays Landing, NJ 08330 | 2015-11-12 |
| 1902282205 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5270 Oakwoord Boulevard, Mays Landing, NJ 08330 | 2015-08-10 |
| 1730510207 | Anais Mixson | Specialist/Technologist | 4438 Yorktown Pl, Mays Landing, NJ 08330 | 2013-12-09 |
| Find all providers in zip 08330 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963938 | Usrc Gloucester, LLC | Clinic/Center | 601 Berlin Cross Keys Rd, Sicklerville, NJ 08081-9563 | 2020-05-18 |
| 1679192876 | Knickerbocker Dialysis Inc | Clinic/Center | 1734 Hancock St, Ridgewood, NJ 11385-4734 | 2020-04-09 |
| 1750910295 | Elandon Dialysis LLC | Clinic/Center | 820 N Rte 17, Paramus, NJ 07652-3104 | 2020-04-06 |
| 1780212365 | Zellier Dialysis LLC | Clinic/Center | 1260 Route 22 E, North Plainfield, NJ 07060 | 2020-03-30 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1598306276 | Fresenius Medical Care Passaic, LLC | Clinic/Center | 10 Clifton Blvd Ste 1, Clifton, NJ 07011-3802 | 2019-10-03 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1699323824 | Claymount Dialysis LLC | Clinic/Center | 21 Cornwell Dr, Bridgeton, NJ 08302-3632 | 2019-08-30 |
| 1962064758 | Fresenius Medical Care Bridgeton, LLC | Clinic/Center | 12 Cornwell Dr, Bridgeton, NJ 08302-3633 | 2019-07-02 |
| 1790347698 | Wellbound of Cherry Hill, LLC | Clinic/Center | 1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2117 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
| City | MAYS LANDING |
| Zip Code | 08330 |
Please comment or provide details below to improve the information on SPRAGUE DIALYSIS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.