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SOUTH JERSEY DIALYSIS
NPI 1235807116
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Pennsauken, NJ

Active since September 03, 2021CLIA 31D2225915 · Waiver
5261 MARLTON PIKE, STE A, PENNSAUKEN, NJ 08109(856) 438-7646(856) 438-7647 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Mar 21, 2023 (2 updates tracked since 2023).

About South Jersey Dialysis NPPES

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

SOUTH JERSEY DIALYSIS (NPI 1235807116) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Pennsauken, New Jersey and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1235807116
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTYLER DIALYSIS LLC
Location Address5261 MARLTON PIKE, STE APennsauken, NJ 08109-4758
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(856) 438-7646
Fax(856) 438-7647
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateSeptember 3, 2021
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1235807116 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
5261 MARLTON PIKE, Pennsauken, NJ 08109
Open in Google Maps ↗

Other Names 1

Doing Business AsSouth Jersey Dialysis

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 31D2225915

South Jersey Dialysis · Pennsauken, NJ
Active · expires May 24, 2027
CLIA Number31D2225915
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorSeema Sikand
Laboratory Phone(856) 438-7646
Laboratory LocationSouth Jersey Dialysis5261A Marlton Pike West, Pennsauken, NJ 08109
CLIA data matches this NPI record on: 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 South Jersey (CMS certification number 312716), from CMS Care Compare.

DaVita South Jersey

Dialysis facility · Pennsauken, NJ
OwnershipProfit
ChainDaVita
CMS Certification Number312716
ESRD NetworkNetwork 3
Hemodialysis Stations7
Medicare-Certified SinceJune 16, 2023
Location5261 MARLTON PIKE STE APennsauken, NJ 08109 · Camden County
Phone(856) 438-7646
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 3

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

FALLON NICOLE WOODFORD
Registered Nurse (Addiction (Substance Use Disorder))
5261 MARLTON PIKE
PENNSAUKEN, NJ 08109
Camden County (724) 201-6351
LINDSAY KAY PETTORINI RN
Registered Nurse (Addiction (Substance Use Disorder))
5261 MARLTON PIKE
PENNSAUKEN, NJ 08109
Camden County (800) 805-6989
JENNIFER MECOUCH CADC
Counselor (Addiction (Substance Use Disorder))
5261 MARLTON PIKE
PENNSAUKEN, NJ 08109
Camden County (856) 254-2329

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 Tyler Dialysis LLC's NPI number?

The NPI number for Tyler Dialysis LLC is 1235807116. It was assigned to this organization in the NPPES registry on September 3, 2021. The provider is doing business as South Jersey Dialysis.

Where is Tyler Dialysis LLC located?

Tyler Dialysis LLC is located at 5261 Marlton Pike Ste A, Pennsauken, NJ 08109. The listed phone number is (856) 438-7646.

What is Tyler 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 Tyler Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2225915) is associated with this NPI, valid through May 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Tyler Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita South Jersey is a Medicare-certified dialysis facility, certified since June 16, 2023.

What insurance does Tyler 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 Tyler 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 Tyler Dialysis LLC was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.