GREEN MANOR DIALYSIS CENTER LLC (NPI# 1912991266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912991266 |
| Entity Type | Organization |
| Organization Name | GREEN MANOR DIALYSIS CENTER LLC |
| Other Organization Name | NORTHERN HUDSON VALLEY DIALYSIS CENTER |
| Practice Address |
159 Jefferson Hts Catskill NY 12414-1237 |
| Practice Telephone | 5189431404 |
| Practice Fax Number | 5189432602 |
| Mailing Telephone | 5189431404 |
| Mailing Fax Number | 5189432602 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | VINNY ANAND (CEO MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5189431404 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 1059202R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01687094 | 05 |
| Other Name | Type Code |
|---|---|
| Northern Hudson Valley Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760836126 | Green Manor Dialysis Center LLC | Clinic/Center | 583 Columbia Tpke, East Greenbush, NY 12061-1602 | 2016-04-21 |
| 1467445601 | Green Manor Dialysis Center LLC | Clinic/Center | 30 Whittier Way, Ghent, NY 12075 | 2005-08-23 |
| Street Address |
159 JEFFERSON HTS |
| City | CATSKILL |
| State | NY |
| Zip Code | 12414-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445412 | Columbia Memorial Hospital | Clinic/Center | 159 Jefferson Hts, Suite D-107, Catskill, NY 12414-1237 | 2017-02-03 |
| 1528510971 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 159 Jefferson Hts, Catskill, NY 12414-1237 | 2016-11-02 |
| 1154876688 | Columbia Memorial Hospital | Clinic/Center | 159 Jefferson Hts, Catskill, NY 12414-1237 | 2016-08-25 |
| 1396119947 | Columbia Memorial Hospital | Clinic/Center | 159 Jefferson Hts, Suite D-107, Catskill, NY 12414-1237 | 2015-11-19 |
| 1104233600 | Columbia Memorial Hospital | Clinic/Center | 159 Jefferson Hts, Suite C-104, Catskill, NY 12414-1237 | 2014-07-16 |
| 1265851026 | Columbia Memorial Hospital | Clinic/Center | 159 Jefferson Hts, Suite C-103, Catskill, NY 12414-1237 | 2014-04-09 |
| 1578817177 | April Hannah | Counselor | 159 Jefferson Hts, Suite D204, Catskill, NY 12414-1237 | 2012-11-04 |
| 1497009377 | Mary Alexis Lupoli | Dietitian, Registered | 159 Jefferson Hts, Suite D-303, Catskill, NY 12414-1237 | 2012-10-31 |
| 1396091252 | Columbia Memorial Hospital | Clinic/Center | 159 Jefferson Hts, Suite D-203, Catskill, NY 12414-1237 | 2012-07-30 |
| 1679829527 | Columbia Memorial Hospital | Clinic/Center | 159 Jefferson Hts, Suite C-201, Catskill, NY 12414-1237 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134653561 | Kelly Meyer | Specialist/Technologist | 30 Edgemere Hill Rd, Catskill, NY 12414 | 2017-04-12 |
| 1417498429 | Susan Carol Grecke | Social Worker | 110 Jefferson Heights, Catskill, NY 12414 | 2017-03-10 |
| 1487977575 | Matthew P Grassi | Pharmacist | 320 West Bridge St, Price Chopper Pharmacy 042, Catskill, NY 12414 | 2010-03-04 |
| 1033395900 | Carina Charlotte Madzelan | Pharmacist | 226 West Bridge St, Catskill, NY 12414 | 2008-01-10 |
| 1679775696 | Danielle Marie Swisher | Occupational Therapy Assistant | 161 Jefferson Heights, Catskill, NY 12414 | 2007-06-01 |
| 1679780217 | Rebecca Marie Calautti | Physical Therapy Assistant | 161 Jefferson Heights Rd, Catskill, NY 12414 | 2007-05-16 |
| 1306908322 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 30 Catskill Cmns, Catskill, NY 12414 | 2006-12-15 |
| 1609953264 | Kristen Dainton Hilliard | Chiropractor | 7987 Route 9w, Catskill, NY 12414 | 2006-11-01 |
| 1629367024 | Wendy Marie Johnson | Registered Nurse | 411 Main St, Suite 300, Catskill, NY 12414 | 2011-04-06 |
| 1831334283 | Parul Jagdish Shah | Pharmacist | 19 Central Ave, Catskill, NY 12414 | 2008-12-12 |
| Find all providers in zip 12414 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
| 1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
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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.