CITADEL RENAL CENTER LLC (NPI# 1144866252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144866252 |
| Entity Type | Organization |
| Organization Name | CITADEL RENAL CENTER LLC |
| Practice Address |
100 W Kingsbridge Rd Bronx NY 10468-3961 |
| Practice Telephone | 7184101374 |
| Mailing Telephone | 7184101374 |
| Enumeration Date | 2019-11-24 |
| Last Update Date | 2020-02-16 |
| Authorized Official Name | MALKY FRIEDMAN (MANAGER / MEMBER) |
| Authorized Official Telephone | 7184101374 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CITADEL RENAL CENTER LLC | 1000 Gates Ave 5th Floor, Brooklyn Ny, Ny 11221 |
| Street Address |
100 W KINGSBRIDGE RD |
| City | BRONX |
| State | NY |
| Zip Code | 10468-3961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450924 | Renee M Hofman | Pharmacist | 100 W Kingsbridge Rd, Bronx, NY 10468-3903 | 2005-07-08 |
| 1144864554 | Post Acute Care Leaders-new York LLC | Nurse Practitioner | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2019-10-30 |
| 1114493699 | Kristin Cherian | Speech-Language Pathologist | 100 W Kingsbridge Rd, Bronx, NY 10468 | 2018-10-22 |
| 1699225169 | Tcprnc, LLC | Skilled Nursing Facility | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2016-10-09 |
| 1528446515 | Tiffany Chang | Speech-Language Pathologist | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2015-05-11 |
| 1821408634 | Amit Khaneja Neurology Practice Pllc | Psychiatry & Neurology | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2014-05-01 |
| 1831460641 | Joohyun Kim | Registered Nurse | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2012-01-25 |
| 1801107818 | Kaitlyn Lin Wong | Internal Medicine | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2010-06-24 |
| 1780907253 | Sasha Elizabeth Rosado | Pharmacist | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2010-03-11 |
| 1710200050 | Maria Muto-wurpel | Pharmacist | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2010-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| 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.