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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 6638104 | 05 |
Other Name | Type Code |
---|---|
Holmdel Dialysis | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
Street Address |
3053 STATE ROUTE 35 STE 201 |
City | HAZLET |
State | NJ |
Zip Code | 07730-1526 |
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 |
Find all providers in zip 07730 |
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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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 |
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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.