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

Teterboro Dialysis

Practice address

502 RT 46 W
Teterboro, NJ 07608-1118

Phone

(201) 288-0249

Fax

(201) 288-2640

NPI assigned

Jan 28, 2013

Last updated

Nov 3, 2025By 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) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teterboro Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Springdale Dialysis758 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 Pennsauken Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pennsauken, NJ
  • NPI 1730352329
  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

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1902144801",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 RT 46 W",
            "city": "TETERBORO",
            "state": "NJ",
            "postal_code": "076081118",
            "telephone_number": "201-288-0249",
            "fax_number": "201-288-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0399990",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teterboro Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Teterboro Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ecaterina F Tamas, MD
• Alice Susan Tannenbaum, MD
• William Ellsworth Tarr Jr., M.D.
• Charmaine Ponce Thomas
• Joel Tiglao
• Vasundhara G Untawale, M.D.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3159)
• Wal-Mart Stores East, LP (Walmart Vision Center 30-3159)
• Sammie C Williams
• Patricia G Wilson, PT

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Teterboro, NJ
• Providers in Teterboro, 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 Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.