Dialysis Services of NJ Inc-Manahawkin

Primary specialty

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

Legal business name

DIALYSIS SERVICES OF NJ INC-MANAHAWKIN

Doing business as

U S Renal Care Manahawkin Dialysis

Practice address

675 Route 72 E
Suite 1006-B
Manahawkin, NJ 08050-3501

Phone

(609) 978-6723

Fax

(609) 978-6730

NPI assigned

Apr 7, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

U S RENAL CARE INCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas L Weinberg

Title

Vice President & Secretary

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• U S Renal Care Manahawkin Dialysis Doing business as

Locations

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1417910902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 ROUTE 72 E",
            "address_2": "SUITE 1006-B",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503501",
            "telephone_number": "609-978-6723",
            "fax_number": "609-978-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS SERVICES OF NJ INC-MANAHAWKIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U S RENAL CARE INC",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "214-736-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7078046",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "7881801",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "A2019304",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MEDICARE HMO",
            "identifier": "953402799",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2206019",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH NJ",
            "identifier": "0000474000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "60001769",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7881801",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7278046",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U S Renal Care Manahawkin Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosemarie Desantis, M.D.
• Jennifer Desanto, MA, CCC-SLP
• Alfred James Desimone, DMD
• Molly Lorraine Devaney, CF-SLP
• Frederic Dewil, MD
• Laurie Jansson Didyk, MSN APN
• Andrea Difiore, CRNA
• Lisa Marie Dinkelacker, LPN
• Seth Dinowitz, MD
• Stephanie Lynn Dittus, P.T.A

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Manahawkin, NJ
• Providers in Manahawkin, 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 Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.