DVA HEALTHCARE RENAL CARE INC


Address: 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526
Phone: 7322030321

DVA HEALTHCARE RENAL CARE INC (NPI# 1700815487) 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) 1700815487
Entity Type Organization
Organization Name DVA HEALTHCARE RENAL CARE INC
Other Organization Name HOLMDEL DIALYSIS
Practice Address 3053 State Route 35
Ste 201
Hazlet
NJ 07730-1526
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 7322030321
Practice Fax Number 7322030279
Mailing Telephone 6153416410
Mailing Fax Number 8886628259
Enumeration Date 2006-07-03
Last Update Date 2020-05-15
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
41302 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 6638104 05

Other Provider/Organization Names

Other Name Type Code
Holmdel Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831690098 Dva Healthcare Renal Care Inc Clinic/Center 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 2018-02-23
1639695984 Dva Healthcare Renal Care Inc Clinic/Center 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 2017-08-18
1710351531 Dva Healthcare Renal Care Inc Clinic/Center 101 Davita Ln, Elizabeth City, NC 27909-3314 2015-11-17
1851769848 Dva Healthcare Renal Care Inc Clinic/Center 9622 Kincey Ave, Huntersville, NC 28078-9140 2015-09-08
1447643408 Dva Healthcare Renal Care Inc Clinic/Center 1274 Ruin Creek Road, Henderson, NC 27537-4168 2015-03-13
1205116167 Dva Healthcare Renal Care Inc Clinic/Center 11308 Hawthorne Dr, Mint Hill, NC 28227-9300 2011-08-24
1932363744 Dva Healthcare Renal Care Inc Clinic/Center 7260 E Marshville Blvd, Marshville, NC 28103-1191 2008-07-11
1689868739 Dva Healthcare Renal Care Inc Clinic/Center 6620 Old Statesville Rd, Charlotte, NC 28269-6768 2007-08-31
1508895632 Dva Healthcare Renal Care Inc Clinic/Center 1164 E Route 130, Burlington, NJ 08016-2954 2006-07-01
1740246404 Dva Healthcare Renal Care Inc Clinic/Center 5780 Schaffer Rd, Dubois, PA 15801 2006-04-21

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities DVA HEALTHCARE RENAL CARE INC. 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117

Office Location

Street Address 3053 STATE ROUTE 35
STE 201
City HAZLET
State NJ
Zip Code 07730-1526

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982006128 Heather Cardilla Registered Nurse 2 Julia Ln, Hazlet, NJ 07730 2014-09-18
1427477785 Rameet Kaur Hundle Family Medicine 2880 Nj-35, Hazlet, NJ 07730 2014-04-15
1073831830 Joseph Michael Williams Dentist 85 Fleetwood Drive, Hazlet, NJ 07730 2010-05-04
1780827733 Walgreen Co. Durable Medical Equipment & Medical Supplies 2995 Hwy 35, Hazlet, NJ 07730 2009-04-07
1205078789 Sunny Shen Acupuncturist 1 Bethany Rd, Suite 97, Bldg 6, Hazlet, NJ 07730 2009-03-31
1356593776 Aleksandar Radojicic Dentist 233 Middle Rd., Suite 5, Hazlet, NJ 07730 2008-10-16
1588853964 Josephine Rim Md Pllc Physical Medicine & Rehabilitation 29 Village Ct, Hazlet, NJ 07730 2007-10-22
1912108044 Adeel Ahmad Physical Medicine & Rehabilitation 1 Bethany Road, Suite 21, Building 2, Hazlet, NJ 07730 2007-05-29
1174737928 Thomas Hennessy Chiropractor 224 Middle Road, Unit 1, Hazlet, NJ 07730 2007-05-10
1407079411 Carousel of Home Care Home Health 1340 Highway 36, Suite 4, Hazlet, NJ 07730 2007-04-10
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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 HAZLET
Zip Code 07730

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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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