WORKMENS CIRCLE DIALYSIS MANAGEMENT LLC (NPI# 1013383520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013383520 |
| Entity Type | Organization |
| Organization Name | WORKMENS CIRCLE DIALYSIS MANAGEMENT LLC |
| Practice Address |
3155 Grace Ave Bronx NY 10469-3134 |
| Practice Telephone | 7183041255 |
| Mailing Telephone | 7183041255 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | PAT DEBENEDICTIS (MANAGER / MEMBER) |
| Authorized Official Telephone | 5164227818 |
| 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 |
NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03760249 | 05 | |
| CCN | 332695 | 01 |
| Street Address |
3155 GRACE AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10469-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770518920 | John Robert Fernandez | Internal Medicine | 3155 Grace Ave, Bronx, NY 10469-3134 | 2006-07-12 |
| 1760016307 | Kamell Norfleet | Occupational Therapist | 3155 Grace Ave, Bronx, NY 10469-3134 | 2020-02-22 |
| 1215561840 | Marsha Josephine Bissent-blanford | Occupational Therapist | 3155 Grace Ave, Bronx, NY 10469-3134 | 2020-02-22 |
| 1699310326 | Onyekachi Anosike | Occupational Therapy Assistant | 3155 Grace Ave, Bronx, NY 10469-3134 | 2019-11-18 |
| 1104337542 | Jamaica Acquisition IIi LLC | Home Health | 3155 Grace Ave, Bronx, NY 10469-3134 | 2017-10-12 |
| 1649664665 | Morningside Acquisition I LLC | Home Health | 3155 Grace Ave, Bronx, NY 10469-3134 | 2015-03-27 |
| 1710328380 | Jopal Bronx LLC | Skilled Nursing Facility | 3155 Grace Ave, Bronx, NY 10469-3134 | 2013-07-11 |
| 1023453826 | Silver Town At Grace Avenue Day Care Center LLC | Clinic/Center | 3155 Grace Ave, Bronx, NY 10469-3134 | 2013-05-07 |
| 1376880690 | Workmens Circle Dialysis Center Inc | Clinic/Center | 3155 Grace Ave, Bronx, NY 10469-3134 | 2013-01-07 |
| 1801117247 | Jerrymias Homeres Ranario | Occupational Therapist | 3155 Grace Ave, Bronx, NY 10469-3134 | 2010-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
| 1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
| 1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
| 1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
| 1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
| 1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
| 1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
| 1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
| 1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
| Find all providers in zip 10469 | ||||
| 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 |
|---|---|---|---|---|
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1902456742 | Knickerbocker Dialysis Inc | Clinic/Center | 34 Marconi St Ste 110, Bronx, NY 10461-2755 | 2019-09-13 |
| 1407415243 | Knickerbocker Dialysis Inc | Clinic/Center | 931 Bruckner Blvd, Bronx, NY 10459-4525 | 2019-06-06 |
| 1700353943 | New York Dialysis Services Inc | Clinic/Center | 1776 Eastchester Rd Ste 240, Bronx, NY 10461-2335 | 2018-10-25 |
| 1730676743 | Knickerbocker Dialysis Inc | Clinic/Center | 1820 E Tremont Ave, Bronx, NY 10460-3131 | 2018-04-16 |
| 1013410133 | Knickerbocker Dialysis Inc | Clinic/Center | 2190 Jerome Ave, Bronx, NY 10453-1815 | 2018-03-15 |
| 1063911659 | Knickerbocker Dialysis Inc | Clinic/Center | 1490 Macombs Rd, Bronx, NY 10452-2101 | 2018-02-08 |
| 1275032856 | Knickerbocker Dialysis Inc | Clinic/Center | 2554 White Plains Rd, Bronx, NY 10467-8141 | 2018-02-08 |
| 1063932945 | Knickerbocker Dialysis Inc | Clinic/Center | 3440 Boston Rd, Bronx, NY 10469-2512 | 2017-06-22 |
| 1962957993 | Knickerbocker Dialysis Inc | Clinic/Center | 2331 Eastchester Rd, Bronx, NY 10469-5910 | 2016-08-19 |
| Find all providers in BRONX | ||||
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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.