APOLLO HEALTHCARE LLC (NPI# 1336161066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336161066 |
| Entity Type | Organization |
| Organization Name | APOLLO HEALTHCARE LLC |
| Other Organization Name | NIAGARA RENAL CENTER |
| Practice Address |
3018 Military Road Niagara Falls NY 14304 |
| Practice Telephone | 7162984195 |
| Practice Fax Number | 7162985964 |
| Mailing Telephone | 7162984195 |
| Mailing Fax Number | 7162985964 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL S SLOMA (PRESIDENT CEO) |
| Authorized Official Telephone | 7162822200 |
| 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 |
3102205R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNIVERA HEALTHCARE | 00011419902 | 01 | |
| INDEPENDENT HEALTH | P7 | 01 | |
| NY | 02394076 | 05 | |
| BLUE CROSS BLUE SHIELD | 358002 | 01 |
| Other Name | Type Code |
|---|---|
| Niagara Renal Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841561172 | Apollo Healthcare LLC | Clinic/Center | 515 N Arlington Ave, East Orange, NJ 07017-4010 | 2012-01-18 |
| 1497761829 | Apollo Healthcare LLC | Clinic/Center | 621 Tenth Street, Niagara Falls, NY 14302 | 2006-07-31 |
| Street Address |
3018 MILITARY ROAD |
| City | NIAGARA FALLS |
| State | NY |
| Zip Code | 14304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903963 | Joel Nelson | Chiropractor | 2119 Sawyer Dr., Niagara Falls, NY 14304 | 2019-10-17 |
| 1992299002 | Jessica Lyn Luh | Speech-Language Pathologist | 2639 Niagara Rd, Niagara Falls, NY 14304 | 2018-06-21 |
| 1508275926 | Daniel Ivers Norton | Social Worker | 2510 Kirkbridge Dr., Bldg. 803 Rm 121, Niagara Falls, NY 14304 | 2014-08-11 |
| 1033533997 | Denise Charmaine Sawyer-winkfield | Licensed Practical Nurse | 9701 Niagara Falls Blvd Suite 1f, Aftercare Nursing Services, Niagara Falls, NY 14304 | 2014-02-13 |
| 1255769204 | Timothy Roy Bronson | Counselor | 8610 Buffalo Avenue, Niagara Falls, NY 14304 | 2013-10-29 |
| 1679825202 | Brandon Winder | Hearing Instrument Specialist | 6989 Williams Rd., Niagara Falls, NY 14304 | 2012-10-05 |
| 1952652174 | Michelle Jean Barrons | Registered Nurse | 8431 Girard Ave, Niagara Falls, NY 14304 | 2012-09-27 |
| 1285983379 | Nicole Lee Hobbs | Physical Therapist | 2111 Sawyer Dr., Niagara Falls, NY 14304 | 2012-09-05 |
| 1962712513 | Karen Marie Krug | Registered Nurse | 434 72nd Street, Niagara Falls, NY 14304 | 2010-10-18 |
| 1760626550 | Sadaf Islam | Psychiatry & Neurology | 1623 Military Road, Niagara Falls, NY 14304 | 2009-04-24 |
| Find all providers in zip 14304 | ||||
| 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 |
|---|---|---|---|---|
| 1508399452 | New York Dialysis Services, Inc. | Clinic/Center | 3018 Military Rd, Niagara Falls, NY 14304-1225 | 2017-04-07 |
| 1619377330 | Liberty Rc Inc | Clinic/Center | 2932 Military Rd, Niagara Falls, NY 14304-1252 | 2014-08-29 |
| 1740588755 | Liberty Rc Inc | Clinic/Center | 621 10th St, Niagara Falls, NY 14301-1813 | 2011-03-01 |
| 1497761829 | Apollo Healthcare LLC | Clinic/Center | 621 Tenth Street, Niagara Falls, NY 14302 | 2006-07-31 |
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|---|---|---|---|---|
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | NIAGARA FALLS |
| Zip Code | 14304 |
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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.