TYLER DIALYSIS LLC (NPI# 1891044756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891044756 |
| Entity Type | Organization |
| Organization Name | TYLER DIALYSIS LLC |
| Other Organization Name | LOURDES CAMDEN DIALYSIS |
| Practice Address |
1601 Haddon Ave Camden NJ 08103-3109 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8565410647 |
| Practice Fax Number | 8565412698 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2020-09-22 |
| 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 |
24696 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0335991 | 05 |
| Other Name | Type Code |
|---|---|
| Lourdes Camden Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154789659 | Tyler Dialysis LLC | Clinic/Center | 700 Crescent Blvd, Ste 10b, Brooklawn, NJ 08030-2797 | 2016-01-29 |
| 1215287941 | Tyler Dialysis LLC | Clinic/Center | 3716 Church Rd, Mount Laurel, NJ 08054-1104 | 2012-09-10 |
| 1760732408 | Tyler Dialysis LLC | Clinic/Center | 130 Gaither Dr, Ste 172, Mount Laurel, NJ 08054-1715 | 2012-09-10 |
| Street Address |
1601 HADDON AVE |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144219130 | Michael J Deary | Obstetrics & Gynecology | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2005-10-21 |
| 1700483906 | Khoa Vu | Pharmacist | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2020-10-01 |
| 1861030223 | Marie-claude Udell | Registered Nurse | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2019-12-17 |
| 1912548579 | Diane G Farrington | Nurse Practitioner | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2019-10-04 |
| 1134779630 | Christie F Babilonia | Social Worker | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2019-09-17 |
| 1598314957 | Yvonne O'donnell | Nurse Practitioner | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2019-09-09 |
| 1881162485 | Vanessa Tortoreto | Social Worker | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2018-11-13 |
| 1104316082 | Patricia Ann Wixted | Dietitian, Registered | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2018-05-16 |
| 1770083701 | Christine Minerva | Social Worker | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2018-02-16 |
| 1730695305 | The Osborn Family Health Center, Inc. | Clinic/Center | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2017-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| 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 |
|---|---|---|---|---|
| 1891039210 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1114 W Washington St Nw, Camden, AR 71701-3827 | 2012-11-26 |
| 1457463218 | Bio-medical Applications of Alabama Inc. | Clinic/Center | 229 Camden Byp, Camden, AL 36726-2217 | 2006-08-31 |
| 1801813548 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 7 Haile Ln, Camden, SC 29020-3754 | 2006-07-17 |
| 1164484770 | Total Renal Care Inc | Clinic/Center | 168 W Main St Ste A, Camden, TN 38320-1767 | 2006-04-06 |
| 1114992047 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 1114 Washington N.w., Camden, AR 71701-3827 | 2006-02-22 |
| 1942450325 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 7 Haile Ln, Camden, SC 29020-3754 | 2008-09-23 |
| 1992798995 | Our Lady of Lourdes Medical Center, Inc | Clinic/Center | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2005-08-24 |
| 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 |
| 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.