| NPI | 1396707113 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-04-05 |
| Last Updated | 2025-05-14 |
| Authorized Official | Samuel Wey VP Licensure & Certification Phone: 6153416641 |
| Mailing Address | 5200 Virginia Way, L&c Dept Brentwood, TN 37027-7569 United States 📍 View Map |
| Primary Practice Address | 834 Walnut St Philadelphia, PA 19107-5109 United States Phone: (215) 629-1490 | Fax: (215) 629-5728 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | PA | 1007765290011 | - |
| MEDICAID | NJ | 9066101 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QE0700X – Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | - | - |
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About NPI 1396707113
Physicians Dialysis Acquisitions Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1396707113. The primary specialty listed is Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. The organization is located in Philadelphia, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1396707113?
NPI 1396707113 belongs to Physicians Dialysis Acquisitions Inc, a Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Philadelphia, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1396707113 active?
The current status of NPI 1396707113 in the NPPES registry is Active. The record was last updated on 2025-05-14.
What specialty is NPI 1396707113?
NPI 1396707113 is classified under the taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1396707113?
You can verify NPI 1396707113 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1396707113?
The primary practice address on file for NPI 1396707113 is 834 Walnut St, Philadelphia, PA 19107-5109. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1396707113 issued?
NPI 1396707113 was first issued (enumerated) on 2006-04-05. The NPPES record was last updated on 2025-05-14.
Practice Location Map
Physicians Dialysis Acquisitions Inc is located at 834 Walnut St, Philadelphia, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Physicians Dialysis Acquisitions Inc. All records sourced from the CMS NPPES registry.