Organization · Type 2 NPI

Sprague Dialysis LLC

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

NPI number 1093270696 Active

Practice location

4403 E Black Horse Pike, Ste LL04
Mays Landing, NJ 08330-3103

Call (609) 813-2050 Map

Fax (609) 813-2055

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: 1093270696
Entity type: Organization (Type 2)
Issued: Feb 7, 2019
Last updated: Feb 24, 2025
Status: Active

Other names

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Mays Landing Dialysis · doing business as
Mays Landing Dialysis · doing business as

Authorized official

Samuel T 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 1093270696

Sprague Dialysis LLC's National Provider Identifier is 1093270696, issued on Feb 7, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Mays Landing, NJ. The record was last updated on Feb 24, 2025.