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MT POCONO DIALYSIS
NPI 1063474922
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tobyhanna, PA

Active since April 05, 2006CLIA 39D1007433 · Waiver
3/5
Overall Rating
100 COMMUNITY DR, STE 106, TOBYHANNA, PA 18466(570) 839-0900(570) 839-1065 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2025, Feb 22, 2023, Sep 22, 2020 and 1 more (4 updates tracked since 2019).

About Mt Pocono Dialysis NPPES

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

MT POCONO DIALYSIS (NPI 1063474922) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tobyhanna, Pennsylvania and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1063474922
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS NORTHEAST INC
Location Address100 COMMUNITY DR, STE 106Tobyhanna, PA 18466-8986
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(570) 839-0900
Fax(570) 839-1065
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 496-3453
Enumeration DateApril 5, 2006
Last NPPES UpdateJanuary 6, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1063474922 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
100 COMMUNITY DR, Tobyhanna, PA 18466
Open in Google Maps ↗

Other Names 1

Doing Business AsMt Pocono Dialysis

Other Identifiers 1

Medicaid100729430 0023PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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 39D1007433

Mt Pocono Dialysis · Tobyhanna, PA
Active · expires Dec 16, 2026
CLIA Number39D1007433
Laboratory TypeOther
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorDr. Adeem Akbar
Laboratory Phone(570) 839-0900
Laboratory LocationMt Pocono Dialysis100 Community Drive Suite 106, Tobyhanna, PA 18466
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 Mt Pocono Dialysis (CMS certification number 392705), from CMS Care Compare.

DaVita Mt Pocono Dialysis

Dialysis facility · Tobyhanna, PA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number392705
ESRD NetworkNetwork 4
Hemodialysis Stations12
Medicare-Certified SinceMarch 10, 2003
Location100 Community Drive, Suite 106Tobyhanna, PA 18466 · Monroe County
Phone(570) 839-0900
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN BROWN DPT
Physical Therapist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
PATRICIA C ORWIG LPT
Physical Therapist
100 COMMUNITY DR, 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
LEAH MICHELLE ARLEQUIN MD
Family Medicine
100 COMMUNITY DR
TOBYHANNA, PA 18466
Monroe County (570) 895-2300
MICHAEL TURSO MS,CCC SLP
Speech-Language Pathologist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
RACHAEL SEESE CRNP
Nurse Practitioner (Family)
100 COMMUNITY DR, STE 102
TOBYHANNA, PA 18466
Monroe County (570) 839-8754
JAMES T KINCEL JR. PA-C
Physician Assistant
100 COMMUNITY DR, SUITE 203
TOBYHANNA, PA 18466
Monroe County (570) 839-8754
ANN MARIE ELIZABETH DEANTONIO PTA
Physical Medicine & Rehabilitation
100 COMMUNITY DR
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
VERONICA LYNN WILKINSON MSPT
Physical Therapist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975

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 Renal Treatment Centers Northeast Inc's NPI number?

The NPI number for Renal Treatment Centers Northeast Inc is 1063474922. It was assigned to this organization in the NPPES registry on April 5, 2006. The provider is doing business as Mt Pocono Dialysis.

Where is Renal Treatment Centers Northeast Inc located?

Renal Treatment Centers Northeast Inc is located at 100 Community Dr Ste 106, Tobyhanna, PA 18466. The listed phone number is (570) 839-0900.

What is Renal Treatment Centers Northeast Inc'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 Renal Treatment Centers Northeast Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1007433) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Treatment Centers Northeast Inc a Medicare-certified dialysis facility?

Yes. DaVita Mt Pocono Dialysis is a Medicare-certified dialysis facility, certified since March 10, 2003.

What quality rating does Renal Treatment Centers Northeast Inc have?

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

What insurance does Renal Treatment Centers Northeast Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Renal Treatment Centers Northeast Inc 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 Renal Treatment Centers Northeast Inc was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.