Dialyze Direct VA LLC

Primary specialty

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

Legal business name

DIALYZE DIRECT VA LLC

Practice address

251 S Newtown Rd
Norfolk, VA 23502-5718

Phone

(732) 806-9990

NPI assigned

Jan 10, 2022

Last updated

Jun 29, 2023By 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

Joshua Rothenberg

Title

President

Phone

(732) 806-9990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

Dialyze Direct VaCCN 492742

Ownership

Profit

Certified

Nov 5, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

6

Affiliated clinicians 6

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

• Emaad M Abdel-Rahman

  • Nephrology Physician
  • Charlottesville, VA
  • NPI 1164591780

  Dialysis facility

  Care Compare affiliation Name & address match
• Nam Nhat Ha, MD

  • Nephrology Physician
  • Fairfax, VA
  • NPI 1659863124

  Dialysis facility

  Care Compare affiliation Name & address match
• Thurein Kyaw, M.D

  • Nephrology Physician
  • Lynchburg, VA
  • NPI 1922356336

  Dialysis facility

  Care Compare affiliation Name & address match
• Nyein Chann Wai Lynn

  • Nephrology Physician
  • Lynchburg, VA
  • NPI 1396230223

  Dialysis facility

  Care Compare affiliation Name & address match
• Ahmad Osman Noori, M.D.

  • Nephrology Physician
  • Reston, VA
  • NPI 1407874621

  Dialysis facility

  Care Compare affiliation Name & address match
• Amish B Shah, MD

  • Nephrology Physician
  • Glen Allen, VA
  • NPI 1598737389

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1083365266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297 STATE ROUTE 66",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 S NEWTOWN RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235025718",
            "telephone_number": "732-806-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYZE DIRECT VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "ROTHENBERG",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-806-9990"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarit Dhar, MD
• Kiranjit Kaur Dhillon, MD
• Lauren M Di Serafino, PTA
• Diabetes Education Association of Virginia
• Diabetic Foot Center of Tidewater (Janaf Foot and Ankle Center)
• Diamond Life Services Charity Incorporated
• Beth P. Diamonstein, CCC, SLP
• Diane LH Coltrin, MD PC
• Ariane Marcela Dias Silveira, DMD
• Ashley Dicaprio, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Norfolk, VA
• Providers in Norfolk, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.