Usrc Marlton, LLC

Primary specialty

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

Legal business name

USRC MARLTON, LLC

Doing business as

U.S. Renal Care Marlton Dialysis

Practice address

9 Eves Dr
Ste 170
Marlton, NJ 08053-3138

Phone

(856) 355-8996

Fax

(856) 355-8997

NPI assigned

Sep 6, 2016

Last updated

Apr 3, 2017By 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

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Marlton Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

USRC MarltonCCN 312665

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jan 30, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

10

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Locations

Affiliated clinicians 3

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

• Devang V Lodhavia, M.D.

  • Nephrology Physician
  • Voorhees, NJ
  • NPI 1679570634

  Dialysis facility

  Care Compare affiliation Name & address match
• Yonghong Huan, MD

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1568525269

  Dialysis facility

  Care Compare affiliation Name & address match
• Rebecca Amerlia Kurnik Seshasai, MD

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1033314919

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1447707666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842688",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842688",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EVES DR",
            "address_2": "STE 170",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533138",
            "telephone_number": "856-355-8996",
            "fax_number": "856-355-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC MARLTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC",
        "enumeration_date": "2016-09-06",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "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": "U.S. Renal Care Marlton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Andrea Lee Vanvreede, MSSW, LSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Marlton, NJ
• Providers in Marlton, 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 Apr 3, 2017; 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.