BROOKLYN GARDENS DIALYSIS CENTER LLC (NPI# 1235759036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235759036 |
| Entity Type | Organization |
| Organization Name | BROOKLYN GARDENS DIALYSIS CENTER LLC |
| Practice Address |
835 Herkimer St Brooklyn NY 11233-3031 |
| Practice Telephone | 7181234567 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | MICHAEL MELNICKE (MANAGER / MEMBER) |
| Authorized Official Telephone | 7183447087 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
835 HERKIMER ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11233-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225080401 | Joseph Navarro Chavez | Physical Therapist | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2006-05-16 |
| 1265904700 | Bora Kim | Occupational Therapist | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2018-12-21 |
| 1467869602 | Providence Care Inc | Skilled Nursing Facility | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2014-07-21 |
| 1396031555 | Susan Samuels | Nurse Practitioner | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2011-06-24 |
| 1376617100 | Bishop Henry B Hucles Enh Adc | Clinic/Center | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2006-11-20 |
| 1831262856 | Bishop Henry B Hucles Episcopal Nursing Home | Skilled Nursing Facility | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066381 | Elisa Jeanne Smith | Social Worker | 1505 St. Marks Ave, Clinical Office, Brooklyn, NY 11233 | 2020-09-08 |
| 1154968493 | Jahmani Hylton | Social Worker | 451 Macon Street, Ground Floor, Brooklyn, NY 11233 | 2019-12-05 |
| 1487121935 | Kimberly Ramsay | Social Worker | 1847 Prospect Place, Basement, Brooklyn, NY 11233 | 2018-11-01 |
| 1952823874 | Valerie A Davis | Specialist | 1769 Park Place, 1a, Brooklyn, NY 11233 | 2017-07-12 |
| 1053833988 | Griselda Colmena | Case Manager/Care Coordinator | 1765 Prospect Pl, 2h, Brooklyn, NY 11233 | 2017-07-12 |
| 1316476724 | Juliana Susannah Green Peters | Registered Nurse | 887 Hancock St, Brooklyn, NY 11233 | 2017-06-08 |
| 1043744816 | Marjorie Direny | Social Worker | 23484 Atlantic Ave, Brooklyn, NY 11233 | 2017-04-18 |
| 1467999169 | Myint M Nwe | Student in an Organized Health Care Education/Training Program | #30 Kane Place, Brooklyn, New York City, NY 11233 | 2017-01-20 |
| 1053857417 | Lateefat Lawal | Case Manager/Care Coordinator | 216 Rockaway Ave, Apt 22a, Brooklyn, NY 11233 | 2017-01-10 |
| 1932659232 | Tonetta Arnold | Counselor | 1569 Prospect, 6b, Brooklyn, NY 11233 | 2016-10-11 |
| Find all providers in zip 11233 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1659851442 | The Rogosin Institute Inc | Clinic/Center | 527 Court St, Brooklyn, NY 11231-4450 | 2018-08-21 |
| 1487133633 | Knickerbocker Dialysis Inc | Clinic/Center | 54 New Lots Ave, Brooklyn, NY 11212-6934 | 2018-08-08 |
| 1669959953 | Knickerbocker Dialysis Inc | Clinic/Center | 1641 E 16th St Fl 5, Brooklyn, NY 11229-1107 | 2018-07-19 |
| 1669961314 | Knickerbocker Dialysis Inc | Clinic/Center | 550 Kingston Ave, Brooklyn, NY 11203-1702 | 2018-05-08 |
| 1578063327 | Knickerbocker Dialysis Inc | Clinic/Center | 2064 Atlantic Ave, Brooklyn, NY 11233-3162 | 2018-02-19 |
| 1598264194 | Knickerbocker Dialysis Inc | Clinic/Center | 146 Meserole St, Brooklyn, NY 11206-2582 | 2018-02-08 |
| 1770027294 | Knickerbocker Dialysis Inc | Clinic/Center | 730 64th St, Brooklyn, NY 11220-4714 | 2016-12-19 |
| 1710399837 | Park Slope Dialysis Management, LLC | Clinic/Center | 672 Parkside Ave, Brooklyn, NY 11226-1506 | 2014-05-22 |
| 1982941290 | The Rogosin Institute Inc | Clinic/Center | 2372 Linden Blvd, Brooklyn, NY 11208-4821 | 2013-01-07 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.