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).
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 |
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 |
Street Address |
12 N 7TH AVENUE 3RD FLOOR |
City | MOUNT VERNON |
State | NY |
Zip Code | 10550-2026 |
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 |
Find all providers in zip 10550 |
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 |
---|---|---|---|---|
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 |
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 |
Find all providers with the same taxonomy |
City | MOUNT VERNON |
Zip Code | 10550 |
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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.