Organization · Type 2 NPI

Renal Treatment Centers Northeast Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Philadelphia, PA

NPI number 1295797058 Active

Practice location

518 Knorr St
Philadelphia, PA 19111-4604

Call (215) 745-4859 Map

Fax (215) 745-9145

Mailing address

5200 Virginia Way, Att: 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: 1295797058
Entity type: Organization (Type 2)
Issued: Apr 5, 2006
Last updated: Jun 10, 2026
Status: Active

Other names

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Ne Philadelphia Dialysis Center · doing business as
Ne Philadelphia Dialysis Center · doing business as

Authorized official

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

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About NPI 1295797058

Renal Treatment Centers Northeast Inc's National Provider Identifier is 1295797058, issued on Apr 5, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 10, 2026.