Organization · Type 2 NPI

Isd Renal Inc

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

NPI number 1245891670 Active

Practice location

100 W Forest Ave, Ste G
Englewood, NJ 07631-4033

Call (201) 816-9733 Map

Fax (201) 816-9735

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...

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NPI record

NPI: 1245891670
Entity type: Organization (Type 2)
Issued: Jun 26, 2019
Last updated: Oct 23, 2026
Status: Active

Other names

<unavail>
South Dean Dialysis · doing business as
South Dean Dialysis · doing business as

Authorized official

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

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About NPI 1245891670

Isd Renal Inc's National Provider Identifier is 1245891670, issued on Jun 26, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Englewood, NJ. The record was last updated on Oct 23, 2026.