Total Renal Care Inc

Primary specialty

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

Legal business name

TOTAL RENAL CARE INC

Doing business as

Pennsauken Dialysis Center

Practice address

7024 Kaighn Ave
Pennsauken, NJ 08109-4417

Phone

(856) 486-1145

Fax

(856) 486-4338

NPI assigned

Apr 4, 2008

Last updated

Oct 6, 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

Samuel T Wey

Title

Sr Director Licensure&Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pennsauken Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

DaVita Pennsauken Dialysis CenterCCN 312593

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Nov 24, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

21

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

CLIA laboratory certificates

Tax ID family

Hernando Kidney Center758 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Total Renal Care Inc

  dba Main Street Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lumberton, NJ
  • NPI 1013337302
  NPD tax ID
• Total Renal Care Inc

  dba Teterboro Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Teterboro, NJ
  • NPI 1902144801
  NPD tax ID
• Valmack Dialysis LLC

  dba Belmar Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wall Township, NJ
  • NPI 1437798386
  NPD tax ID

Affiliated clinicians 3

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

• Solomon Dawson

  • Nephrology Physician
  • Camden, NJ
  • NPI 1982024717

  Dialysis facility

  Care Compare affiliation Name & address match
• Yesenia Socorro Galan, M.D.

  • Infectious Disease Physician
  • Cherry Hill, NJ
  • NPI 1518401231

  Dialysis facility

  Care Compare affiliation Name & address match
• Vinay Kumar Srinivasan, M.D.

  • Nephrology Physician
  • Camden, NJ
  • NPI 1861734154

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1730352329",
    "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",
            "telephone_number": "615-341-6410",
            "fax_number": "888-662-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7024 KAIGHN AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094417",
            "telephone_number": "856-486-1145",
            "fax_number": "856-486-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SR DIRECTOR 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": "0186333",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennsauken Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pennsauken Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Toof, PA-C
• Top Rank Home Care
• Top Rank Home Care LLC
• Florinda Torres, M.D.
• Amy Torrey
• Township of Pennsauken
• Christine Faith Tracy
• Aditi Trivedi, MD
• Talaura Truluck
• Tyler Dialysis LLC (South Jersey Dialysis)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsauken, NJ
• Providers in Pennsauken, 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 Oct 6, 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.