HORTENSE & LOUIS RUBIN DIALYSIS CENTER, INC. (NPI# 1386605772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386605772 |
| Entity Type | Organization |
| Organization Name | HORTENSE & LOUIS RUBIN DIALYSIS CENTER, INC. |
| Practice Address |
1850 Peoples Ave Troy NY 12180-3607 |
| Practice Telephone | 5182710702 |
| Practice Fax Number | 5182710624 |
| Mailing Telephone | 5182710702 |
| Mailing Fax Number | 5182710624 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2007-07-20 |
| Authorized Official Name | MR. WAYNE A EVANCOE (ADMINISTRATOR) |
| Authorized Official Telephone | 5182710702 |
| Authorized Official Credential | CEO |
| 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 |
4102201R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EBCBS | 005376 | 01 |
| NY | 00964250 | 05 | |
| NY | BSNENY | 000400438001 | 01 |
| NY | CDPHP | 10005842 | 01 |
| NY | MVP | 953252 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851358469 | Hortense & Louis Rubin Dialysis Center, Inc. | Clinic/Center | 21 Crossing Blvd, Clifton Park, NY 12065-4181 | 2006-04-27 |
| 1275595571 | Hortense & Louis Rubin Dialysis Center, Inc. | Clinic/Center | 59c Myrtle St, Saratoga Springs, NY 12866-1012 | 2006-04-04 |
| Street Address |
1850 PEOPLES AVE |
| City | TROY |
| State | NY |
| Zip Code | 12180-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295134617 | Dialysis Clinic Inc | Clinic/Center | 1850 Peoples Ave, Troy, NY 12180-3607 | 2014-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
| 1508354754 | New York Dialysis Services Inc | Clinic/Center | 16 N Greenbush Rd, Troy, NY 12180-8327 | 2018-04-24 |
| 1720322571 | Bastrop Dialysis LLC | Clinic/Center | 3190 N County Road 25a, Troy, OH 45373-1337 | 2012-11-18 |
| 1346342532 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 9 Lincoln Ctr, Unit A, Troy, MO 63379-1456 | 2006-09-01 |
| 1407968258 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 606 Botts Ave, Troy, AL 36081-3802 | 2006-08-31 |
| 1285654673 | Henry Ford Health System | Clinic/Center | 2050 Livernois Rd, Troy, MI 48083-1757 | 2006-07-20 |
| 1366074874 | Freedom Center of Troy, LLC | Clinic/Center | 16 N Greenbush Rd, Troy, NY 12180-8579 | 2020-02-12 |
| 1295134617 | Dialysis Clinic Inc | Clinic/Center | 1850 Peoples Ave, Troy, NY 12180-3607 | 2014-08-21 |
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| 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.