DVA RENAL HEALTHCARE INC


Address: 14-20 Prospect St, East Orange, NJ 07017-2238
Phone: 9736722025

DVA RENAL HEALTHCARE INC (NPI# 1548299373) 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) 1548299373
Entity Type Organization
Organization Name DVA RENAL HEALTHCARE INC
Other Organization Name EAST ORANGE DIALYSIS
Practice Address 14-20 Prospect St
East Orange
NJ 07017-2238
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 9736722025
Practice Fax Number 9736751381
Mailing Telephone 6153416410
Mailing Fax Number 8886628259
Enumeration Date 2006-07-02
Last Update Date 2020-06-23
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
22214 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 8562105 05

Other Provider/Organization Names

Other Name Type Code
East Orange 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
1164451852 Dva Renal Healthcare Inc Clinic/Center 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 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
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 14-20 PROSPECT ST
City EAST ORANGE
State NJ
Zip Code 07017-2238

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255993101 Yvonne Jansen-pearce Licensed Practical Nurse 212 N Mum Ave., East Orange, NJ 07017 2019-07-01
1356821508 Kinfolk Advanced Illness Nurse Practitioners Nurse Practitioner 16 Eastwood St, East Orange, NJ 07017 2018-08-17
1619490992 Holy Hands Enterprises L.l.c Home Health 7 Glenwood Ave., Suite 419-b, 4th Floor., East Orange, NJ 07017 2017-07-19
1760902688 Kenneth Amoah Gyan Nurse Practitioner 28a Melmore Gardens, East Orange, NJ 07017 2017-06-21
1487002192 Robert William Reilly Student in an Organized Health Care Education/Training Program 344 Prospect Street, East Orange, NJ 07017 2016-06-03
1497114474 Alicja U Pietrzak Behavioral Analyst 60 Evergreen Pl., 3rd Floor Suite 309, East Orange, NJ 07017 2016-02-18
1396147658 Angela Gordon Licensed Practical Nurse 12 Lawton Street, East Orange, NJ 07017 2014-09-18
1063716488 Yonas T Mehari Specialist 251 Hoffman Blvd, East Orange, NJ 07017 2010-12-28
1275833857 Urban Healthcare Initiative Program Inc Clinic/Center 613 Park Avenue, East Orange, NJ 07017 2010-10-28
1881813285 Trans America Care Non-emergency Medical Transport (VAN) 55 Washington Street, Suite# 308, East Orange, NJ 07017 2007-04-24
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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 city

NPI Name Taxonomy Address Enumeration
1629564653 Dialysis Center of Mountainside LLC Clinic/Center 20 Sussex Avenue, East Orange, NJ 07018-4228 2018-07-02
1912226051 Norman Village Kidney Clinic LLC Clinic/Center 515 N Arlington Ave, East Orange, NJ 07017-4010 2010-05-28
1043785058 Prospect Eogh, Inc. Clinic/Center 240 Central Ave, East Orange, NJ 07018-3313 2018-10-05
1942304720 Nna of East Orange, L.L.C. Clinic/Center 110 S Grove St, East Orange, NJ 07018-4102 2006-09-12

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 EAST ORANGE
Zip Code 07017

Improve Information

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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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