PALM GARDENS DIALYSIS CENTER LLC (NPI# 1578968582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578968582 |
| Entity Type | Organization |
| Organization Name | PALM GARDENS DIALYSIS CENTER LLC |
| Practice Address |
615 Avenue C Brooklyn NY 11218-4101 |
| Practice Telephone | 7186333300 |
| Practice Fax Number | 7186332261 |
| Mailing Telephone | 7186333300 |
| Mailing Fax Number | 7186332261 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-04 |
| Authorized Official Name | SHIMON LEFKOWITZ (CEO) |
| Authorized Official Telephone | 7186333300 |
| 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 |
615 AVENUE C |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11218-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295772010 | The Palm Gardens Center for Nursing and Rehabilitation | Custodial Care Facility | 615 Avenue C, Brooklyn, NY 11218-4101 | 2006-06-01 |
| 1619359494 | Jennifer Derrick | Licensed Practical Nurse | 615 Avenue C, Brooklyn, NY 11218-4101 | 2015-06-29 |
| 1477789782 | Palm Gardens Adult Day Care | Clinic/Center | 615 Avenue C, Brooklyn, NY 11218-4101 | 2009-06-02 |
| 1730345745 | Gifty Joycelyn Appiah | Nurse Practitioner | 615 Avenue C, Brooklyn, NY 11218-4101 | 2008-07-30 |
| 1134390321 | Palm Gardens Care Center LLC | Skilled Nursing Facility | 615 Avenue C, Brooklyn, NY 11218-4101 | 2008-03-17 |
| 1801980800 | Palm Gardens Adult Day Care | Clinic/Center | 615 Avenue C, Brooklyn, NY 11218-4101 | 2006-10-03 |
| 1184729592 | Jadee Lyn Torres | Physical Therapist | 615 Avenue C, Brooklyn, NY 11215-3689 | 2006-09-13 |
| 1437266715 | Jane Lagunilla | Physical Therapist | 615 Avenue C, Brooklyn, NY 11215-3689 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161410 | Sigit LLC | In Home Supportive Care | 1132 39 St, Basement, Brooklyn, NY 11218 | 2020-10-13 |
| 1073127338 | Mushka Sternbach | Specialist | 312-38 Street, Brooklyn, NY 11218 | 2020-09-03 |
| 1659989614 | Sara Montag | Specialist | Yeled V'yaldas 1312 38th Street, Brooklyn, NY 11218 | 2020-07-16 |
| 1922626936 | Benzion Fuhrer | Specialist | Yeled Vyalda, 1312 38 St, Brooklyn, NY 11218 | 2020-07-07 |
| 1326665209 | Sara Rosenberg | Specialist | Yeled V' Yalda, 1312-38 Street, Brooklyn, NY 11218 | 2020-06-26 |
| 1831714690 | Estee Goldberg-lieblich | Specialist | Y'eled V'yalda, 1312 38th St., Brooklyn, NY 11218 | 2020-06-08 |
| 1659915213 | Esther M Schon | Specialist | Yeled V'yalda's 1312- 38 Street, Brooklyn, NY 11218 | 2019-11-06 |
| 1902464597 | Malky Wallerstein | Specialist | Yeled V'yalda's 1312 38th Street, Brooklyn, NY 11218 | 2019-05-30 |
| 1457817900 | Rut Munk | Specialist | Yeled V' Yalda's, 1312 38 Street, Brooklyn, NY 11218 | 2019-02-20 |
| 1073089405 | Bracha Yagudaev | Specialist | Yeled V'yalda's 1312-38 Street, Brooklyn, NY 11218 | 2018-10-24 |
| Find all providers in zip 11218 | ||||
| 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 |
|---|---|---|---|---|
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1659851442 | The Rogosin Institute Inc | Clinic/Center | 527 Court St, Brooklyn, NY 11231-4450 | 2018-08-21 |
| 1487133633 | Knickerbocker Dialysis Inc | Clinic/Center | 54 New Lots Ave, Brooklyn, NY 11212-6934 | 2018-08-08 |
| 1669959953 | Knickerbocker Dialysis Inc | Clinic/Center | 1641 E 16th St Fl 5, Brooklyn, NY 11229-1107 | 2018-07-19 |
| 1669961314 | Knickerbocker Dialysis Inc | Clinic/Center | 550 Kingston Ave, Brooklyn, NY 11203-1702 | 2018-05-08 |
| 1578063327 | Knickerbocker Dialysis Inc | Clinic/Center | 2064 Atlantic Ave, Brooklyn, NY 11233-3162 | 2018-02-19 |
| 1598264194 | Knickerbocker Dialysis Inc | Clinic/Center | 146 Meserole St, Brooklyn, NY 11206-2582 | 2018-02-08 |
| 1770027294 | Knickerbocker Dialysis Inc | Clinic/Center | 730 64th St, Brooklyn, NY 11220-4714 | 2016-12-19 |
| 1710399837 | Park Slope Dialysis Management, LLC | Clinic/Center | 672 Parkside Ave, Brooklyn, NY 11226-1506 | 2014-05-22 |
| 1982941290 | The Rogosin Institute Inc | Clinic/Center | 2372 Linden Blvd, Brooklyn, NY 11208-4821 | 2013-01-07 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on PALM GARDENS DIALYSIS CENTER LLC.
| 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.