Organization · Type 2 NPI

Buckhorn Dialysis LLC

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

NPI number 1689176141 Active

Practice location

468 Chancellor Ave, Ste WS-3
Irvington, NJ 07111-4001

Call (973) 373-0294 Map

Fax (973) 371-1595

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: 1689176141
Entity type: Organization (Type 2)
Issued: Mar 1, 2018
Last updated: Oct 23, 2026
Status: Active

Other names

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

Authorized official

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

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About NPI 1689176141

Buckhorn Dialysis LLC's National Provider Identifier is 1689176141, issued on Mar 1, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Irvington, NJ. The record was last updated on Oct 23, 2026.