KNICKERBOCKER DIALYSIS INC


Address: 3440 Boston Rd, Bronx, NY 10469-2512
Phone: 7187980538

KNICKERBOCKER DIALYSIS INC (NPI# 1063932945) 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) 1063932945
Entity Type Organization
Organization Name KNICKERBOCKER DIALYSIS INC
Other Organization Name LACONIA DIALYSIS
Practice Address 3440 Boston Rd
Bronx
NY 10469-2512
Mailing Address 5200 Virginia Way
Brentwood
TN 37027-7569
Practice Telephone 7187980538
Practice Fax Number 7186522495
Mailing Telephone 6153204414
Mailing Fax Number 8668652884
Enumeration Date 2017-06-22
Last Update Date 2017-06-22
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 6153204414
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

Other Provider/Organization Names

Other Name Type Code
Laconia Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3440 BOSTON RD
City BRONX
State NY
Zip Code 10469-2512

Providers in the same zip code

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 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
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
1962957993 Knickerbocker Dialysis Inc Clinic/Center 2331 Eastchester Rd, Bronx, NY 10469-5910 2016-08-19
1033582283 Usrc Pelham, LLC Clinic/Center 1225a Morris Park Ave, Bronx, NY 10461-1929 2015-11-10
Find all providers in BRONX

Competitor

Search similar providers

City BRONX
Zip Code 10469

Improve Information

Please comment or provide details below to improve the information on KNICKERBOCKER DIALYSIS INC.

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.

Trending Searches