FISHKILL DIALYSIS CENTER, LLC (NPI# 1265729594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265729594 |
| Entity Type | Organization |
| Organization Name | FISHKILL DIALYSIS CENTER, LLC |
| Practice Address |
60 Merritt Blvd Fishkill NY 12524-2990 |
| Mailing Address |
7650 Se 27th St Suite 200 Mercer Island WA 98040-3060 |
| Practice Telephone | 2062365001 |
| Mailing Telephone | 2062365001 |
| Mailing Fax Number | 2062365002 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2013-11-20 |
| Authorized Official Name | RYAN B PARDO (VICE PRESIDENT) |
| Authorized Official Telephone | 2062365001 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03449676 | 05 |
| Street Address |
60 MERRITT BLVD |
| City | FISHKILL |
| State | NY |
| Zip Code | 12524-2990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710952759 | Thomas Joseph Guzzardi | Internal Medicine | 60 Merritt Blvd, Fishkill, NY 12524-2990 | 2006-02-22 |
| 1235471616 | Andrew Pietris | Physician Assistant | 60 Merritt Blvd, Suite 106, Fishkill, NY 12524-2917 | 2013-03-23 |
| 1265685598 | Jenifer Lorrill Farina Lucia | Physician Assistant | 60 Merritt Blvd, Suite 106, Fishkill, NY 12524-2990 | 2008-10-30 |
| 1013199330 | Shane Martin Wible | Physician Assistant | 60 Merritt Blvd, Suite 106, Fishkill, NY 12524-2990 | 2007-11-28 |
| 1457547788 | Christie Dorothy Garb | Family Medicine | 60 Merritt Blvd, Fishkill, NY 12524-2990 | 2007-09-20 |
| 1710180302 | Vincent Savath | Family Medicine | 60 Merritt Blvd, Fishkill, NY 12524-2990 | 2007-06-09 |
| 1942306568 | Veena Sankappanavar Gangasani | Pediatrics | 60 Merritt Blvd, Fishkill, NY 12524-2990 | 2006-09-15 |
| 1710907415 | Jose R Fontanez | Internal Medicine | 60 Merritt Blvd, Fishkill, NY 12524-2990 | 2006-07-19 |
| 1518934660 | Patricia Casimir | Internal Medicine | 60 Merritt Blvd, Fishkill, NY 12524-2990 | 2006-03-07 |
| 1477520039 | Vivian Mee Sone | Obstetrics & Gynecology | 60 Merritt Blvd, Fishkill, NY 12524-2990 | 2006-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306392659 | Leandra Carr | Licensed Practical Nurse | 3 Mountain View Knolls Drive, Fishkill, NY 12524 | 2016-08-28 |
| 1558738427 | Teresa Williams | Speech-Language Pathologist | 51 Shirley Ave, Fishkill, NY 12524 | 2015-08-27 |
| 1689088742 | Cardiovascular and Medical Associate of The Hudson Valley PC | Internal Medicine | 841 Route 52 Suite 6, Fishkill, NY 12524 | 2014-06-17 |
| 1366876377 | Bohdan Darnobid | Physician Assistant | 121 Red School House Road, Fishkill, NY 12524 | 2013-08-27 |
| 1396007530 | Rebecca Gowans Roper-eckstein | Psychologist | 24 Old Glenham Road, Fishkill, NY 12524 | 2012-06-13 |
| 1083989859 | Nicos Nicolaou | Pathology | 400 Westage Business Ctr Dr Ste 209, Fishkill, NY 12524 | 2012-03-13 |
| 1760776256 | Janice Jacqueline Thomas-green | Registered Nurse | 62 Hoose Blvd, Fishkill, NY 12524 | 2011-06-02 |
| 1548494776 | Jacquelyn A Lindsay | Social Worker | 1575 Route 376 At New Hackensack Road, Wappingers Falls, NY 12524 | 2009-05-01 |
| 1154512838 | Joan J Miles | Registered Nurse | 74 Highland Ct, Fishkill, NY 12524 | 2007-08-07 |
| 1902097884 | Optical Fashions Corp | Technician/Technologist | 200 Westage Business Center Drive, Fishkill, NY 12524 | 2007-08-06 |
| Find all providers in zip 12524 | ||||
| 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 |
|---|---|---|---|---|
| 1033752696 | Knickerbocker Dialysis Inc | Clinic/Center | 982 Main St, Fishkill, NY 12524-3506 | 2019-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
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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.