SPRAGUE DIALYSIS LLC (NPI# 1639613649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639613649 |
| Entity Type | Organization |
| Organization Name | SPRAGUE DIALYSIS LLC |
| Other Organization Name | BRIDGETON DIALYSIS |
| Practice Address |
333 Irving Ave Bridgeton NJ 08302-2123 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8565754200 |
| Practice Fax Number | 8564530174 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2020-07-20 |
| 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 |
25050 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0598917 | 05 |
| Other Name | Type Code |
|---|---|
| Bridgeton Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093270696 | Sprague Dialysis LLC | Clinic/Center | 4403 Black Horse Pike Ste Ll04, Mays Landing, NJ 08330-3103 | 2019-02-07 |
| 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 |
| Street Address |
333 IRVING AVE |
| City | BRIDGETON |
| State | NJ |
| Zip Code | 08302-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679527626 | Inspira Medical Centers, Inc. | Clinic/Center | 333 Irving Ave, Bridgeton, NJ 08302-2100 | 2006-05-22 |
| 1366080095 | Delia Lorraine Bancroft | Counselor | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2019-12-12 |
| 1336794312 | Inspira Medical Centers, Inc. | Rehabilitation, Substance Use Disorder Unit | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2019-08-06 |
| 1831687631 | Allison M Lant | Social Worker | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2018-04-26 |
| 1548775745 | Vicky Tomlin | Counselor | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2017-12-11 |
| 1689183709 | Cumberland County Guidance Center | Clinic/Center | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2017-09-20 |
| 1205355237 | Jessica Hayes | Counselor | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2017-09-11 |
| 1306367321 | Anna Marks | Registered Nurse | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2017-06-29 |
| 1750829859 | David Lawrence Spuler | Marriage & Family Therapist | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2017-02-08 |
| 1306393509 | Margaret M Bruce | Counselor | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2016-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508390196 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Northwest Drive, Bridgeton, NJ 08302 | 2017-04-20 |
| 1124552716 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 198 Roadstown Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1861926453 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 555 Burlington Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1306370994 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Princeton Avenue, Bridgeton, NJ 08302 | 2017-04-20 |
| 1205360245 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Roberts Avenue, Bridgeton, NJ 08302 | 2017-04-17 |
| 1649704602 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 West Park Drive, Bridgeton, NJ 08302 | 2017-04-17 |
| 1871043299 | Leah Sadler | Counselor | 90 S Burlington Rd, 189, Bridgeton, NJ 08302 | 2016-10-10 |
| 1245695428 | Bkt High Quality Healthcare Agency LLC | Home Health | 6 South Laurel St., 2nd Floor, Bridgeton, NJ 08302 | 2015-12-15 |
| 1073986493 | Caringhouse Projects, Inc | Respite Care | 1040 Laurel Lane, Deerfield Township, NJ 08302 | 2015-11-06 |
| 1174903256 | Christopher Struby | Internal Medicine | 201 Laurel Heights Dr # 201, Bridgeton, NJ 08302 | 2015-06-04 |
| Find all providers in zip 08302 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1275645178 | Renex Dialysis Clinic of Bridgeton, Inc. | Clinic/Center | 12380 Natural Bridge Rd, Bridgeton, MO 63044-2019 | 2006-08-31 |
| 1891807780 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 12484 Saint Charles Rock Rd, Bridgeton, MO 63044-2506 | 2006-08-31 |
| 1679527626 | Inspira Medical Centers, Inc. | Clinic/Center | 333 Irving Ave, Bridgeton, NJ 08302-2100 | 2006-05-22 |
| 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 |
| 1790347698 | Wellbound of Cherry Hill, LLC | Clinic/Center | 1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2117 | 2019-07-01 |
| 1033770458 | Pinson Dialysis LLC | Clinic/Center | 547 Morris Ave, Elizabeth, NJ 07208-1985 | 2019-06-26 |
| 1245891670 | Isd Renal Inc | Clinic/Center | 100 W Forest Ave Ste G, Englewood, NJ 07631-4033 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
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| 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.