USRC SOUTH FLUSHING, LLC (NPI# 1104299254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104299254 |
Entity Type | Organization |
Organization Name | USRC SOUTH FLUSHING, LLC |
Other Organization Name | U.S. RENAL CARE SOUTH FLUSHING DIALYSIS |
Practice Address |
7112 Park Ave Flushing NY 11365-4105 |
Mailing Address |
2400 Dallas Pkwy Ste 350 Plano TX 75093-4370 |
Practice Telephone | 7185914010 |
Practice Fax Number | 7185914014 |
Mailing Telephone | 2147362700 |
Mailing Fax Number | 2147362701 |
Enumeration Date | 2015-11-10 |
Last Update Date | 2015-11-10 |
Authorized Official Name | THOMAS L. WEINBERG (CHAIRMAN, AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 2147362700 |
Is Organization Subpart | Y |
Parent Organization Name | U.S. RENAL CARE, INC. |
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 Name | Type Code |
---|---|
U.S. Renal Care South Flushing Dialysis | Doing Business As Name - Organization |
Street Address |
7112 PARK AVE |
City | FLUSHING |
State | NY |
Zip Code | 11365-4105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891730404 | Ihs of New York Inc | Clinic/Center | 7112 Park Ave, Flushing, NY 11365-4105 | 2006-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427660653 | Melanie Batista | Massage Therapist | 71-55 Parsons Blvd, Fresh Meadows, NY 11365 | 2020-08-19 |
1497396378 | Celestina Andino | Registered Nurse | 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 | 2019-10-02 |
1659939304 | Bracha Kosoff | Occupational Therapist | 71-64 168th St., Flushing, NY 11365 | 2019-05-29 |
1295290419 | Kate Okeke | Licensed Practical Nurse | 188 04 64th Avenue, Fresh Meadow, NY 11365 | 2019-02-01 |
1669951497 | Jihee Woo | Registered Nurse | 189-04 6f Fresh Meadows, Queeens, NY 11365 | 2018-08-13 |
1710465125 | In Hye Choi | Acupuncturist | 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 | 2018-07-30 |
1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
1598280489 | Gabriella Pamela Koyenova | Physician Assistant | 69-24 181st Street, Fresh Meadows, NY 11365 | 2017-08-11 |
1750802781 | Nicola Coley | Behavioral Analyst | 6747 161st Street, 1k, Flushing, NY 11365 | 2017-06-29 |
1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
Find all providers in zip 11365 |
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 |
---|---|---|---|---|
1275931644 | Queens Dialysis At The Pavilion, LLC | Clinic/Center | 36-17 Parsons Blvd, Flushing, NY 11354-5931 | 2014-12-16 |
1497075444 | The Rogosin Institute, Inc. | Clinic/Center | 3920 Utopia Pkwy, Flushing, NY 11358-2322 | 2010-06-01 |
1891730404 | Ihs of New York Inc | Clinic/Center | 7112 Park Ave, Flushing, NY 11365-4105 | 2006-06-18 |
1073574588 | Renal Treatment Centers Illinois Inc | Clinic/Center | 3469 Pierson Pl, Suite A, Flushing, MI 48433-2704 | 2006-04-01 |
1396308565 | Rogosin Auburndale, LLC | Clinic/Center | 3920 Utopia Pkwy, Flushing, NY 11358-2322 | 2019-04-15 |
1285843904 | Flushing Manor Dialysis Center, LLC | Clinic/Center | 3617 Parsons Blvd, Flushing, NY 11354-5931 | 2007-05-21 |
1730213877 | Flushing Hospital Medical Center | Clinic/Center | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2007-03-14 |
1265478432 | Newyork-presbyterian-queens | Clinic/Center | 5645 Main St, Eighth Floor Dialysis Unit, Flushing, NY 11355-5045 | 2006-06-22 |
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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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.