OrganizationActive
Clydesdale Dialysis LLC
NPI 1316707169 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dover, NJ
Provider details
- NPI number
- 1316707169
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp, Licensure & Certification(615) 320-4414
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
417 US Highway 46
Dover, NJ 07801-3709
Phone: (862) 753-6007
Fax: (862) 296-0113
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Rockaway Dialysis
Registry dates
- Enumerated
- 2024-03-20
- Last updated
- 2024-03-20
- Certified
- 2024-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.