MOUNT VERNON DIALYSIS LLC


Address: 12 N 7th Avenue, 3rd Floor, Mount Vernon, NY 10550-2026
Phone: 9146654343

MOUNT VERNON DIALYSIS LLC (NPI# 1013107358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013107358
Entity Type Organization
Organization Name MOUNT VERNON DIALYSIS LLC
Practice Address 12 N 7th Avenue
3rd Floor
Mount Vernon
NY 10550-2026
Mailing Address 12 N 7th Ave
3rd Floor
Mount Vernon
NY 10550-2026
Practice Telephone 9146654343
Practice Fax Number 9146652982
Mailing Telephone 9146654343
Mailing Fax Number 9146652982
Enumeration Date 2007-08-01
Last Update Date 2008-11-11
Authorized Official Name CHRISTOPHER OBHOKHAN ADUBOR (MEDICAL DIRECTOR)
Authorized Official Telephone 9146654343
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 12 N 7TH AVENUE
3RD FLOOR
City MOUNT VERNON
State NY
Zip Code 10550-2026

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487240 Jacqueline Marshall Technician 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 2020-05-05
1023529369 B.t.m. Psychiatric Np Services, Pllc Nurse Practitioner 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 2017-10-13
1669994174 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 500 E Sanford Blvd, Mount Vernon, NY 10550 2017-07-17
1053869198 Teresa Turriago I Social Worker 487 S. Broadway, Yonkers, New York, NY 10550 2016-09-19
1811340862 Marcia Samuels Nembhard Licensed Practical Nurse 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 2016-07-14
1043665318 Marshalee Mullings Registered Nurse 70 E 4th Street, 2c, Mount Vernon, NY 10550 2016-04-25
1518333228 Humanities Medical Supplies Inc Durable Medical Equipment & Medical Supplies 100 Stevens Avenue, Mount Vernon, NY 10550 2015-08-17
1851779458 Maila Catolico Registered Nurse 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 2015-05-14
1003203266 Priscilla A. Severe Registered Nurse 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 2015-04-24
1477963254 Imani Ife Campbell Licensed Practical Nurse 323 South 10th Ave, Mt. Vernon, NY 10550 2014-05-02
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508366386 Knickerbocker Dialysis Inc Clinic/Center 120 E Sandford Blvd, Mount Vernon, NY 10550-4512 2018-02-18
1710229927 Total Renal Care Inc Clinic/Center 1485 Coshocton Ave, Mount Vernon, OH 43050-1544 2013-03-26
1093889875 Public Hospital Dist No 1 Skagit Clinic/Center 208 S. Hospital Parkway, Mount Vernon, WA 98274-4126 2006-11-20
1245345081 Bio-medical Applications of Ohio, Inc. Clinic/Center 14 Woodlake Trl, Mount Vernon, OH 43050-9132 2006-08-20
1326072638 Renal Life Link Inc Clinic/Center 4102 N. Water Tower Place, Mount Vernon, IL 62864 2006-07-10
1407324247 Dialysis Clinic Inc Clinic/Center 145 Newcomb Ave, Mount Vernon, KY 40456-2728 2018-11-09
1770908410 Ms Acquisitions IIi, LLC Clinic/Center 10 Claremont Ave, Mount Vernon, NY 10550-1609 2014-03-04
1528404985 Ms Acquisitions IIi, LLC Clinic/Center 10 Claremont Ave, Mount Vernon, NY 10550-1609 2013-05-13

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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
1740824184 Knickerbocker Dialysis Inc Clinic/Center 11 Romaine Ave, Yonkers, NY 10705 2019-10-29
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Competitor

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City MOUNT VERNON
Zip Code 10550

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Dataset Information

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.

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