Clydesdale Dialysis LLC

Primary specialty

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

Legal business name

CLYDESDALE DIALYSIS LLC

Doing business as

Rockaway Dialysis

Practice address

417 US Highway 46
Dover, NJ 07801-3709

Phone

(862) 753-6007

Fax

(862) 296-0113

NPI assigned

Mar 20, 2024

Last updated

Mar 20, 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) 320-4414

Specialties & licenses 1

Addresses

Other names 1

• Rockaway Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

DaVita Rockaway DialysisCCN 312723

Ownership

Profit

Certified

May 21, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

12

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Affiliated clinicians 1

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

• Shubho Ranjan Sarkar, MD

  • Nephrology Physician
  • Morristown, NJ
  • NPI 1932375581

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1316707169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L AND C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4414",
            "fax_number": "866-865-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 US HIGHWAY 46",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078013709",
            "telephone_number": "862-753-6007",
            "fax_number": "862-296-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYDESDALE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP,  LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-320-4414"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockaway Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chiropractic for Health
• Anda Ciora, DDS
• City Limo & Taxi, Inc. (City Medical Transport)
• City Medical Transport Corporation
• Kelly Clark, COTA
• Patrick Dustin Collier, DPT
• Dean Arthur Collins, D.C.
• Commandcare
• Yesenia Viviana Cortes
• Jayson Raul Corvalan, LSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dover, NJ
• Providers in Dover, 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 Mar 20, 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.