Wahconah Dialysis LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Manahawkin, NJ. Organization (NPI-2).
NPI number1164028627
StatusActive
Last updated in NPPESFeb 18, 2026
Details
- NPI
- 1164028627
- Entity type
- Organization (NPI-2)
- Legal business name
- Wahconah Dialysis LLC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2020
- Certification date
- Feb 18, 2026
- Last updated
- Feb 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Manahawkin Dialysis (Doing Business As)
Practice location
601 Washington AveSte F
Manahawkin, NJ 08050-2861
Phone 609-891-3070 · Fax 609-891-3095
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel Wey
Vp, Licensure & Certification
6153416641
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