Organization · Type 2 NPI

Ellmac Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Williamstown, NJ

NPI number 1003474685 Active

Practice location

1217 S Black Horse Pike
Williamstown, NJ 08094-1958

Call (856) 740-1890 Map

Fax (856) 740-1895

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1003474685
Entity type: Organization (Type 2)
Issued: May 30, 2019
Last updated: Jun 13, 2024
Status: Active

Other names

<unavail>
Gloucester County Dialysis · doing business as
Gloucester County Dialysis · doing business as

Authorized official

Samuel Wey
VP, Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003474685

Ellmac Dialysis LLC's National Provider Identifier is 1003474685, issued on May 30, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Williamstown, NJ. The record was last updated on Jun 13, 2024.