DVA RENAL HEALTHCARE INC (NPI# 1164451852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164451852 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE INC |
| Other Organization Name | OLD BRIDGE DIALYSIS |
| Practice Address |
262 Texas Rd Ste 101 Old Bridge NJ 08857-4008 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7325914931 |
| Practice Fax Number | 7325613448 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
22401 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7979801 | 05 | |
| PA | 01831248 | 05 |
| Other Name | Type Code |
|---|---|
| Old Bridge Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629415609 | Dva Renal Healthcare Inc | Clinic/Center | 300 B 22nd St South, Birmingham, AL 35233-2209 | 2013-05-30 |
| 1164728408 | Dva Renal Healthcare Inc | Clinic/Center | 415 W Nc Hwy 54, Durham, NC 27713-7516 | 2011-02-03 |
| 1295983245 | Dva Renal Healthcare Inc | Clinic/Center | 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 | 2008-09-03 |
| 1811171440 | Dva Renal Healthcare Inc | Clinic/Center | 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 | 2007-12-18 |
| 1881623585 | Dva Renal Healthcare Inc | Clinic/Center | 271 King St, Perth Amboy, NJ 08861-4488 | 2006-07-03 |
| 1912936618 | Dva Renal Healthcare Inc | Clinic/Center | 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 | 2006-07-03 |
| 1346270782 | Dva Renal Healthcare Inc | Clinic/Center | 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 | 2006-07-03 |
| 1548299381 | Dva Renal Healthcare Inc | Clinic/Center | 29 Meridian Rd, Edison, NJ 08820-2823 | 2006-07-02 |
| 1548299373 | Dva Renal Healthcare Inc | Clinic/Center | 14-20 Prospect St, East Orange, NJ 07017-2238 | 2006-07-02 |
| 1700844859 | Dva Renal Healthcare Inc | Clinic/Center | 1800 Timberwood Blvd, Ste C, Charlottesville, VA 22911-7544 | 2006-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA Renal Healthcare Inc. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
262 TEXAS RD STE 101 |
| City | OLD BRIDGE |
| State | NJ |
| Zip Code | 08857-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1007 Highway Route 9n, Old Bridge, NJ 08857 | 2020-10-08 |
| 1962910703 | John Hubert Jaeger | Chiropractor | 3883 Route 516, Old Bridge, NJ 08857 | 2018-01-15 |
| 1770097347 | Cindy Zhang | Nurse Practitioner | 3 Hospital Plz Ste 208, Old Bridge, NJ 08857 | 2017-11-18 |
| 1639688542 | Courtney M Demaio | Social Worker | 20 Bertrand St., Old Bridge, NJ 08857 | 2017-09-22 |
| 1861921983 | Erica Marriaga | Social Worker | 9c Spruce Lane, Apartment C, Old Bridge, NJ 08857 | 2017-06-12 |
| 1730615493 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 401 Matchaponix Rd, Old Bridge, NJ 08857 | 2017-05-02 |
| 1033581715 | Akriti Sharma | Physical Therapist | 14 Woodward Drive, Old Bridge, NJ 08857 | 2015-10-21 |
| 1376925990 | Central Old Bridge Emergency Medical Service Inc | Ambulance | 133 Ticetown Road, Old Bridge, NJ 08857 | 2015-06-19 |
| 1609283779 | Stephanie Detone | Audiologist | 3663 Route 9 North, Old Bridge, NJ 08857 | 2014-07-21 |
| 1326461963 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2825 Hwy Route 18, Old Bridge, NJ 08857 | 2014-02-03 |
| Find all providers in zip 08857 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 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 | OLD BRIDGE |
| Zip Code | 08857 |
Please comment or provide details below to improve the information on DVA RENAL HEALTHCARE INC.
| 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.