NAVARRO DIALYSIS LLC NPI 1023424637

NPI Information

  • NPI: 1023424637
  • Provider Name: NAVARRO DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: MATAWAN DIALYSIS
  • CLIA Number: 31D2086298
  • Address: 764 HIGHWAY 34
    STE A
    MATAWAN, NJ
    ZIP 07747
  • Phone: (732) 583-1085

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NPI Details

NAVARRO DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Matawan, NJ. NAVARRO DIALYSIS LLC NPI is 1023424637. The provider is registered as an organization entity type.
The provider Is Doing Business As Matawan Dialysis.

The provider's business location address is:

764 HIGHWAY 34
STE A
MATAWAN, NJ
ZIP 07747-614
Phone: (732) 583-1085
Fax: (732) 566-3632

The provider's authorized official is Samuel Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 31D2086298 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2014 and was last updated on 7/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10477265MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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