KNICKERBOCKER DIALYSIS INC (NPI# 1740824184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740824184 |
| Entity Type | Organization |
| Organization Name | KNICKERBOCKER DIALYSIS INC |
| Practice Address |
11 Romaine Ave Yonkers NY 10705 |
| Mailing Address |
5200 Virginia Way L and C Dept Brentwood TN 37027 |
| Practice Telephone | 9143771959 |
| Practice Fax Number | 9143778425 |
| Mailing Telephone | 6153204414 |
| Mailing Fax Number | 8668652884 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | JAMES HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 6153204414 |
| 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 |
| Other Name | Type Code |
|---|---|
| Getty Square 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 |
| 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 |
| 1487133633 | Knickerbocker Dialysis Inc | Clinic/Center | 54 New Lots Ave, Brooklyn, NY 11212-6934 | 2018-08-08 |
| Street Address |
11 ROMAINE AVE |
| City | YONKERS |
| State | NY |
| Zip Code | 10705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802132 | Safa Ali Alsaidi | Speech-Language Pathologist | 72 Sedgwick Ave, Yonkers, NY 10705 | 2018-05-23 |
| 1962921882 | Breena Beck | Social Worker | 487 S Broadway Ste 2, Yonkers, NY 10705 | 2017-09-12 |
| 1285152231 | Megan Nicole Coyne | Specialist/Technologist | 1090 South Dr., Indiana, PA 10705 | 2017-08-30 |
| 1467994459 | Georgia Katsalis | Social Worker | 573 South Broadway, Apt 2e, Yonkers, NY 10705 | 2016-11-08 |
| 1144680125 | Nonyem Akuba | Registered Nurse | 315 Glenbrook Avenue, Yonkers, New York, NY 10705 | 2016-03-03 |
| 1629435078 | Marisol Castro-pecoraro | Counselor | 360 South Broadway, Suite 22, Yonkers, NY 10705 | 2016-01-15 |
| 1518331255 | Health Care New York | Home Health | 39 Cliff Ave, Yonkers, NY 10705 | 2015-11-18 |
| 1548668122 | Mike Menla | Family Medicine | 415 South Broadway, St Josephs Outpatient Clinic, Yonkers, NY 10705 | 2014-12-12 |
| 1952706731 | Branislav Ristic | Dietitian, Registered | 501 Riverdale Ave 2g, Yonkers, NY 10705 | 2014-10-23 |
| 1053714055 | New Life Social Adult Day Care, Inc | Clinic/Center | 197 S Broadway, Yonkers, NY 10705 | 2014-10-03 |
| Find all providers in zip 10705 | ||||
| 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 |
|---|---|---|---|---|
| 1316041189 | New York Dialysis Services, Inc. | Clinic/Center | 44 Vark St, Yonkers, NY 10701-4603 | 2006-09-12 |
| 1376588038 | Knickerbocker Dialysis Inc | Clinic/Center | 575 Yonkers Ave, Yonkers, NY 10704-2601 | 2006-06-18 |
| 1972048437 | Knickerbocker Dialysis Inc | Clinic/Center | 955 Yonkers Ave, Ste 201, Yonkers, NY 10704-3063 | 2016-12-19 |
| 1912399320 | Regency Dialysis Center LLC | Clinic/Center | 65 Ashburton Ave, Yonkers, NY 10701-2930 | 2015-02-21 |
| 1164670113 | Liberty Rc Inc | Clinic/Center | 5 Odell Plz, Ste 131, Yonkers, NY 10701-1406 | 2008-09-03 |
| 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 |
| 1902456742 | Knickerbocker Dialysis Inc | Clinic/Center | 34 Marconi St Ste 110, Bronx, NY 10461-2755 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
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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.