KNICKERBOCKER DIALYSIS INC (NPI# 1356725824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356725824 |
| Entity Type | Organization |
| Organization Name | KNICKERBOCKER DIALYSIS INC |
| Other Organization Name | SCHUYLER DIALYSIS |
| Practice Address |
220 Steuben St Montour Falls NY 14865-9740 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6072101997 |
| Practice Fax Number | 6072101996 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 | 04458926 | 05 |
| Other Name | Type Code |
|---|---|
| Schuyler Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1679192876 | Knickerbocker Dialysis Inc | Clinic/Center | 1734 Hancock St, Ridgewood, NJ 11385-4734 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 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 |
| 1902456742 | Knickerbocker Dialysis Inc | Clinic/Center | 34 Marconi St Ste 110, Bronx, NY 10461-2755 | 2019-09-13 |
| 1386205714 | Knickerbocker Dialysis Inc | Clinic/Center | 860 Grand Blvd, Deer Park, NY 11729-5706 | 2019-06-26 |
| 1407415243 | Knickerbocker Dialysis Inc | Clinic/Center | 931 Bruckner Blvd, Bronx, NY 10459-4525 | 2019-06-06 |
| 1306404926 | Knickerbocker Dialysis Inc | Clinic/Center | 203 W Route 59, Nanuet, NY 10954-2218 | 2019-05-29 |
| Street Address |
220 STEUBEN ST |
| City | MONTOUR FALLS |
| State | NY |
| Zip Code | 14865-9740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871574848 | Schuyler Hospital Inc | Skilled Nursing Facility | 220 Steuben St, Montour Falls, NY 14865-9740 | 2005-11-08 |
| 1417580697 | Schuyler Hospital Inc | Clinic/Center | 220 Steuben St, Montour Falls, NY 14865-9740 | 2020-02-17 |
| 1972159374 | Katherine Rose Crowe | Physical Therapist | 220 Steuben St, Montour Falls, NY 14865-9740 | 2019-08-13 |
| 1023522760 | Karen Benesh | Physical Therapist | 220 Steuben St, Montour Falls, NY 14865-9740 | 2017-11-16 |
| 1346753035 | Michelle Lynn Creary | Occupational Therapist | 220 Steuben St, Montour Falls, NY 14865-9740 | 2017-11-16 |
| 1194237628 | Mary Ann Mahajan | Pharmacist | 220 Steuben St, Montour Falls, NY 14865-9740 | 2017-10-24 |
| 1649789066 | Noah Fessler | Physical Therapist | 220 Steuben St, Montour Falls, NY 14865-9740 | 2017-09-28 |
| 1487171419 | Katlynne Ray | Physical Therapist | 220 Steuben St, Montour Falls, NY 14865-9740 | 2017-08-30 |
| 1588190995 | Nancy Rundle | Dietitian, Registered | 220 Steuben St, Montour Falls, NY 14865-9740 | 2017-05-04 |
| 1639522550 | Patricia Kelly | Nurse Practitioner | 220 Steuben St, Montour Falls, NY 14865-9740 | 2016-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700389616 | Cardiac Monitoring Services, LLC | Physiological Laboratory | 232 West Main St, Mountor Falls, NY 14865 | 2018-03-16 |
| 1144586066 | Quinlans Pharmacy Inc | Pharmacy | 336 West Main Street, Montour Falls, NY 14865 | 2012-04-04 |
| 1194021394 | Andrzej Jozef Adamski | Orthopaedic Surgery | 4588 Str 224, 820 Montour Falls P8, Montour Falls, NY 14865 | 2011-02-04 |
| 1063657864 | The New Falls Home LLC | Taxi | 111 Schuyler St, Montour Falls, NY 14865 | 2008-12-08 |
| 1467625384 | The New Falls Home, LLC | Assisted Living Facility | 117 Schuyler St, Montour Falls, NY 14865 | 2008-04-11 |
| 1366561789 | Schuyler Hospital Inc | Obstetrics & Gynecology | 250 Steuben Street, Montour Falls, NY 14865 | 2007-03-28 |
| 1639242308 | James F Winkler | Family Medicine | 210 Montour St, Montour Falls, NY 14865 | 2006-11-17 |
| 1083700660 | Theresa A Spaulding | Family Medicine | 401 W. Main St.., Suite 130, Montour Falls, NY 14865 | 2006-10-04 |
| 1326131988 | Stephen Spaulding Md | Family Medicine | 116 North Catherine Street, Mount Falls, NY 14865 | 2006-10-02 |
| 1013008168 | Debra Ann Magistro | Occupational Therapist | 220 Steuben Street, Montour Falls, NY 14865 | 2006-09-27 |
| Find all providers in zip 14865 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MONTOUR FALLS |
| Zip Code | 14865 |
Please comment or provide details below to improve the information on KNICKERBOCKER DIALYSIS INC.
| 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.