Organization · Type 2 NPI

Dva Healthcare of Massachusetts Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Brookline, MA

NPI number 1124087150 Active

Practice location

322 Washington St
Brookline, MA 02445-6850

Call (617) 734-7794 Map

Fax (617) 734-6999

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	EZTZ (MA)

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

Another provider at this address

Sarah Jane Singer, LICSWClinical Social Worker Brookline, MA NPI 1760961148

NPI record

NPI: 1124087150
Entity type: Organization (Type 2)
Issued: Mar 20, 2006
Last updated: Oct 15, 2025
Status: Active

Other names

<unavail>
Brookline Dialysis · doing business as
Brookline Dialysis · doing business as

Authorized official

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

Verify this record

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 1124087150

Dva Healthcare of Massachusetts Inc's National Provider Identifier is 1124087150, issued on Mar 20, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Brookline, MA. The record was last updated on Oct 15, 2025.