Organization · Type 2 NPI
Tyler Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Brooklawn, NJ
NPI number
1154789659
Active
Practice location
700 Crescent Blvd, Ste 10B
Brooklawn, NJ 08030-2797
Fax (856) 742-7094
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 | 24993 (NJ) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
About NPI 1154789659
Tyler Dialysis LLC's National Provider Identifier is 1154789659, issued on Jan 29, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Brooklawn, NJ. The record was last updated on Aug 22, 2025.