DVA RENAL HEALTHCARE INC


Address: 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008
Phone: 7325914931

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NJ 7979801 05
PA 01831248 05

Other Provider/Organization Names

Other Name Type Code
Old Bridge Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities DVA Renal Healthcare Inc. 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117

Office Location

Street Address 262 TEXAS RD
STE 101
City OLD BRIDGE
State NJ
Zip Code 08857-4008

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City OLD BRIDGE
Zip Code 08857

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Dataset Information

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.

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