Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1508895632 Active

Practice location

1164 E Route 130
Burlington, NJ 08016-2954

Call (609) 747-9840 Map

Fax (609) 747-9846

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	22567 (NJ)

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

NPI record

NPI: 1508895632
Entity type: Organization (Type 2)
Issued: Jul 1, 2006
Last updated: Oct 17, 2025
Status: Active

Other names

<unavail>
Burlington North Dialysis · doing business as
Burlington North Dialysis · doing business as

Authorized official

Samuel 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 1508895632

Dva Healthcare Renal Care Inc's National Provider Identifier is 1508895632, issued on Jul 1, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Burlington, NJ. The record was last updated on Oct 17, 2025.