MERCHANTVILLE DIALYSIS
NPI 1194230441
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Pennsauken, NJ

Active since December 08, 2017CLIA 31D2143171 · Waiver
3/5
Overall Rating
5000 N CRESCENT BLVD, STE 1A, PENNSAUKEN, NJ 08109(856) 910-8798(856) 910-8794 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2021, Jun 10, 2019, Oct 2, 2018 and 1 more (4 updates tracked since 2017).

About Merchantville Dialysis NPPES

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

MERCHANTVILLE DIALYSIS (NPI 1194230441) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Pennsauken, New Jersey and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1194230441
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameISD RENAL INC
Location Address5000 N CRESCENT BLVD, STE 1APennsauken, NJ 08109-2151
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 341-6410 · Fax (888) 662-8259
Fax(856) 910-8794
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateDecember 8, 2017
Last NPPES UpdateJanuary 10, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2024
NPI 1194230441 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
5000 N CRESCENT BLVD, Pennsauken, NJ 08109

Other Names 1

Doing Business AsMerchantville Dialysis

Other Identifiers 1

Medicaid06511117NJ

Accepted 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 31D2143171

Merchantville Dialysis · Pennsauken, NJ
Active · expires Jan 24, 2028
CLIA Number31D2143171
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorJason A. Kline
Laboratory Phone(856) 910-8798
Laboratory LocationMerchantville Dialysis5000 N Crescent Blvd Suite 1A, Pennsauken, NJ 08109
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 Merchantville Dialysis (CMS certification number 312685), from CMS Care Compare.

DaVita Merchantville Dialysis

Dialysis facility · Pennsauken, NJ
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number312685
ESRD NetworkNetwork 3
Hemodialysis Stations19
Medicare-Certified SinceSeptember 4, 2018
Location5000 N CRESCENT BLVD SUITE 1APennsauken, NJ 08109 · Camden County
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 Isd Renal Inc's NPI number?

The NPI number for Isd Renal Inc is 1194230441. It was assigned to this organization in the NPPES registry on December 8, 2017. The provider is doing business as Merchantville Dialysis.

Where is Isd Renal Inc located?

Isd Renal Inc is located at 5000 N Crescent Blvd Ste 1A, Pennsauken, NJ 08109. The listed phone number is (856) 910-8798.

What is Isd Renal 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 Isd Renal Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2143171) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Isd Renal Inc a Medicare-certified dialysis facility?

Yes. DaVita Merchantville Dialysis is a Medicare-certified dialysis facility, certified since September 4, 2018.

What quality rating does Isd Renal Inc have?

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

What insurance does Isd Renal 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 Isd Renal 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 Isd Renal Inc was last updated on January 10, 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.