Navarro Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

NAVARRO DIALYSIS LLC

Doing business as

Matawan Dialysis

Practice address

764 Highway 34
Ste a
Matawan, NJ 07747-6614

Phone

(732) 583-1085

Fax

(732) 566-3632

NPI assigned

Jul 2, 2014

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Matawan Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

DaVita Matawan DialysisCCN 312649

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Aug 14, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

19

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Total Renal Care Inc

  dba TRC Children's Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1396704508

  Member Of

  NPD member
• Total Renal Care, Inc.

  dba Barren County Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glasgow, KY
  • NPI 1407496557

  Member Of

  NPD member

Locations

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Manjula Ashok, MD

  • Nephrology Physician
  • Long Branch, NJ
  • NPI 1518923309

  Dialysis facility

  Care Compare affiliation Name & address match
• John Anthony Depalma, DO

  • Nephrology Physician
  • Brick, NJ
  • NPI 1407054471

  Dialysis facility

  Care Compare affiliation Name & address match
• Ossama A. Hozayen, M.D.

  • Nephrology Physician
  • Hazlet, NJ
  • NPI 1922162122

  Dialysis facility

  Care Compare affiliation Name & address match
• Azeez Fathima Naqvi, M.D.

  • Nephrology Physician
  • Holmdel, NJ
  • NPI 1275593469

  Dialysis facility

  Care Compare affiliation Name & address match
• Murtaza Ali Naqvi, DO

  • Nephrology Physician
  • Hazlet, NJ
  • NPI 1447676614

  Dialysis facility

  Care Compare affiliation Name & address match
• Ernest Savransky, MD

  • Nephrology Physician
  • Eatontown, NJ
  • NPI 1912032293

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1023424637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L & C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 HIGHWAY 34",
            "address_2": "STE A",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077476614",
            "telephone_number": "732-583-1085",
            "fax_number": "732-566-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVARRO DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477265",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matawan Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matawan Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse Muse, LAC
• Mary J Myslinski, PT
• Nadel Counseling, LLC
• Michelle Nadel, LPC, LPC-MHSP; LMHC
• Navara Behavioral Group
• Ashwini Kumar Neelgund, M.D.
• Veronica Negron-Cuenca, LAC
• Gina Marie Nelli, M.S., CCC-SLP
• Lindsay Nelson, MSW, LCSW
• Selene Nelson

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Matawan, NJ
• Providers in Matawan, NJ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.