KNICKERBOCKER DIALYSIS INC (NPI# 1972048437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972048437 |
| Entity Type | Organization |
| Organization Name | KNICKERBOCKER DIALYSIS INC |
| Other Organization Name | WESTCHESTER HOME TRAINING |
| Practice Address |
955 Yonkers Ave Ste 201 Yonkers NY 10704-3063 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9142377659 |
| Practice Fax Number | 9142377894 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | JAMES K HILGER (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 | 05455578 | 05 |
| Other Name | Type Code |
|---|---|
| Westchester Home Training | 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 |
955 YONKERS AVE STE 201 |
| City | YONKERS |
| State | NY |
| Zip Code | 10704-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023002201 | Yonkers Imaging PC | Radiology | 955 Yonkers Ave, Inter-county Imaging, Yonkers, NY 10704-3060 | 2005-09-02 |
| 1932707544 | Jennifer Crivelli | Physical Therapist | 955 Yonkers Ave, Yonkers, NY 10704-3060 | 2020-10-15 |
| 1407193899 | St Joseph's Medical Practice PC | Internal Medicine | 955 Yonkers Ave, Suite 200, Yonkers, NY 10704-3060 | 2013-01-07 |
| 1225308505 | Westchester Cancer Surgery P.C. | Surgery | 955 Yonkers Ave, Suite11, Yonkers, NY 10704-3060 | 2012-01-04 |
| 1386923514 | Priyanka Jariwala | Physical Therapist | 955 Yonkers Ave, Ste 109, Yonkers, NY 10704-3063 | 2011-08-05 |
| 1306155254 | Joseph Benjamin Mordus | Physical Therapist | 955 Yonkers Ave, Ste 10, Yonkers, NY 10704-3060 | 2010-09-27 |
| 1801029285 | Taruna Ashok Rijhwani | Physical Therapist | 955 Yonkers Ave, Ste 109, Yonkers, NY 10704-3060 | 2009-09-01 |
| 1720263494 | Raceway Medical Group P.C. | Internal Medicine | 955 Yonkers Ave, Suite 11, Yonkers, NY 10704-3060 | 2007-12-31 |
| 1275712580 | Brenda Lee Sullivan | Internal Medicine | 955 Yonkers Ave, Suite 110, Yonkers, NY 10704-3060 | 2007-11-02 |
| 1538354949 | Aloysius G. Smith Md PC | Plastic Surgery | 955 Yonkers Ave, Suite 17, Yonkers, NY 10704-3060 | 2007-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518482488 | Chaison Baker | Counselor | 648 Bronx River Road, Yonkers, NY 10704 | 2017-08-11 |
| 1144759432 | Simone Ferreira Parker | Nurse Practitioner | 40 College Place, 2nd Floor, Yonkers, NY 10704 | 2017-06-08 |
| 1457885295 | Jacky Mari Cervantes | Physical Therapist | 909 Midland Ave, Ground Floor, Yonkers, NY 10704 | 2017-04-19 |
| 1720512627 | Gould Chiropractic Pllc | Chiropractor | 125 Crescent Place, Yonkers, NY 10704 | 2017-04-18 |
| 1659828721 | Malgorzata Lukomska | Nurse Practitioner | 541n Bronx River Rd, 8e, Yonkers, NY 10704 | 2016-09-07 |
| 1073964987 | Mustafa Alkhandak | Dentist | 172 Murray Ave, Yonkers, NY 10704 | 2016-06-22 |
| 1497119754 | Arline Mangiamele | Hearing Instrument Specialist | 1006 Mclean Ave, Yonkers, NY 10704 | 2016-04-12 |
| 1396139887 | Sadaf Mumtaz | Family Medicine | 1010 Central Park Avenue, Yonkers, NY 10704 | 2015-03-24 |
| 1639577869 | Georgina M Puente | Registered Nurse | 73 Alexander Avenue, Yonkers, NY 10704 | 2014-12-22 |
| 1083033922 | Frances Nelson | Technician, Other | C/o 6 Pellbridge Drive, Hopewell, NY 10704 | 2014-04-08 |
| Find all providers in zip 10704 | ||||
| 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 |
|---|---|---|---|---|
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| 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 |
| 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.