OrganizationActive
Dva Healthcare Renal Care Inc
NPI 1962431650 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hainesport, NJ
Provider details
- NPI number
- 1962431650
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp, Licensure & Certification
- License
- 22348 (NJ)
Practice location
1261 Route 38
Ste B
Hainesport, NJ 08036-2702
Phone: (609) 914-4420
Fax: (609) 845-3099
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2024-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.