KNICKERBOCKER DIALYSIS INC (NPI# 1669959953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669959953 |
| Entity Type | Organization |
| Organization Name | KNICKERBOCKER DIALYSIS INC |
| Other Organization Name | FLATLANDS DIALYSIS |
| Practice Address |
1641 E 16th St Fl 5 Brooklyn NY 11229-1107 |
| Mailing Address |
5200 Virginia Way L and C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7186451615 |
| Practice Fax Number | 7186459264 |
| Mailing Telephone | 6153204414 |
| Mailing Fax Number | 8668652884 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 6153204414 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVITA INC |
| 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 |
| Other Name | Type Code |
|---|---|
| Flatlands 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 |
1641 E 16TH ST FL 5 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
| 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 |
| 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 |
| 1730409301 | Midwood Chayim Aruchim Dialysis Associates, Inc | Clinic/Center | 4102 13th Ave, Brooklyn, NY 11219-1333 | 2010-06-07 |
| 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.