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GLOUCESTER COUNTY DIALYSIS
NPI 1003474685
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Williamstown, NJ

Active since May 30, 2019CLIA 31D2170448 · Waiver
3/5
Overall Rating
1217 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094(856) 740-1890(856) 740-1895 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Dec 15, 2020, May 30, 2019 (3 updates tracked since 2019).

About Gloucester County Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLOUCESTER COUNTY DIALYSIS (NPI 1003474685) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Williamstown, New Jersey and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1003474685
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameELLMAC DIALYSIS LLC
Location Address1217 S BLACK HORSE PIKEWilliamstown, NJ 08094-1958
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(856) 740-1890
Fax(856) 740-1895
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMay 30, 2019
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1003474685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
1217 S BLACK HORSE PIKE, Williamstown, NJ 08094
Open in Google Maps ↗

Other Names 1

Doing Business AsGloucester County Dialysis

Other Identifiers 1

Medicaid0715522NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2170448

Gloucester County Dialysis · Williamstown, NJ
Active · expires Aug 11, 2027
CLIA Number31D2170448
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorNitin Relia
Laboratory Phone(856) 740-1890
Laboratory LocationGloucester County Dialysis1217 S Black Horse Pike, Williamstown, NJ 08094
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Gloucester Dialysis (CMS certification number 312694), from CMS Care Compare.

DaVita Gloucester Dialysis

Dialysis facility · Williamstown, NJ
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number312694
ESRD NetworkNetwork 3
Hemodialysis Stations19
Medicare-Certified SinceNovember 11, 2019
Location1217 S Black Horse PikeWilliamstown, NJ 08094 · Gloucester County
Phone(856) 740-1890
Services Offered
In-center hemodialysis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellmac Dialysis LLC's NPI number?

The NPI number for Ellmac Dialysis LLC is 1003474685. It was assigned to this organization in the NPPES registry on May 30, 2019. The provider is doing business as Gloucester County Dialysis.

Where is Ellmac Dialysis LLC located?

Ellmac Dialysis LLC is located at 1217 S Black Horse Pike, Williamstown, NJ 08094. The listed phone number is (856) 740-1890.

What is Ellmac Dialysis LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Ellmac Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2170448) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ellmac Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Gloucester Dialysis is a Medicare-certified dialysis facility, certified since November 11, 2019.

What quality rating does Ellmac Dialysis LLC have?

CMS rates DaVita Gloucester Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Ellmac Dialysis LLC accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Ellmac Dialysis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellmac Dialysis LLC was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.