Active NPIOrganization

Tyler Dialysis LLC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Pennsauken, New Jersey

NPI Number1235807116
Practice location
5261 Marlton Pike, Ste A, Pennsauken, NJ 08109-4758
Fax
856-438-7647
Last updated
November 5, 2026

Tyler Dialysis LLC is a healthcare organization based in Pennsauken, NJ. Tyler Dialysis LLC practices in Pennsauken, NJ. The NPI Number for Tyler Dialysis LLC is 1235807116. The current practice location address for Tyler Dialysis LLC is 5261 Marlton Pike, Ste A, Pennsauken, NJ 08109-4758 and can be reached out via phone at 856-438-7646 and via fax at 856-438-7647.

Provider Profile Details

NPI Number
1235807116
Provider Name
Tyler Dialysis LLC
Provider Entity Type
Organization
Address
5261 Marlton Pike, Ste A, Pennsauken, NJ 08109-4758
Phone Number
856-438-7646
Fax Number
856-438-7647
Organization Subpart
No
Authorized Official
Samuel Wey · Vp, Licensure & Certification · 615-341-6641
Other Names
South Jersey Dialysis (Doing Business As)
Provider Enumeration Date
September 3, 2021
Last Update Date
November 5, 2026
Certification Date
November 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
5261 Marlton Pike
Ste A
Pennsauken, NJ 08109-4758
Zip
08109-4758
Phone Number
856-438-7646
Fax Number
856-438-7647
Pennsauken, NJ 08109Get directions →

Provider Business Mailing Address Details

Address
5200 Virginia Way
L&c Dept
Brentwood, TN 37027-7569
City
Brentwood
State
TN
Zip
37027-7569

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tyler Dialysis LLC?

The NPI number of Tyler Dialysis LLC is 1235807116. It was assigned on September 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Tyler Dialysis LLC?

Tyler Dialysis LLC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X).

Where does Tyler Dialysis LLC practice?

The practice location is 5261 Marlton Pike, Ste A, Pennsauken, NJ 08109-4758. The office can be reached at 856-438-7646 (phone) or 856-438-7647 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235807116 directly on the NPPES registry website.

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