AVANTUS RENAL THERAPY NEW YORK, LLC (NPI# 1629310891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629310891 |
| Entity Type | Organization |
| Organization Name | AVANTUS RENAL THERAPY NEW YORK, LLC |
| Other Organization Name | AVANTUS HARLEM GREEN DIALYSIS CENTER |
| Practice Address |
488 W 128th St New York NY 10027-2500 |
| Practice Telephone | 2128660206 |
| Practice Fax Number | 2128660964 |
| Mailing Telephone | 2128660206 |
| Mailing Fax Number | 2128660964 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | JAMES J. DIVITO (VICE PRESIDENT) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, 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 |
|---|---|
| AVANTUS HARLEM GREEN DIALYSIS CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811329162 | Avantus Renal Therapy New York, LLC | Clinic/Center | 120 E 16th St Fl 6, New York, NY 10003-2162 | 2013-08-08 |
| 1144653262 | Avantus Renal Therapy New York, LLC | Clinic/Center | 315 E 62nd St, New York, NY 10065-7767 | 2013-08-13 |
| 1871925123 | Avantus Renal Therapy New York, LLC | Clinic/Center | 801 Amsterdam Ave, New York, NY 10025-5752 | 2013-08-08 |
| Street Address |
488 W 128TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10027-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1720691199 | Mohamad El Zein | Student in an Organized Health Care Education/Training Program | 281 West 132nd Street, App Nb 2, New York, NY 10027 | 2020-08-26 |
| 1194335893 | Cynthia Wiggins | Social Worker | 1255 Amsterdam Avenue, New York, NY 10027 | 2020-08-06 |
| 1497399877 | Dr. F Sanchez Dental Arts Pllc | Dentist | 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 | 2019-10-29 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1396216818 | Gissel Lopez | Licensed Practical Nurse | 119west 124th Street, New York, NY 10027 | 2018-12-10 |
| 1831660620 | Katherine Gonzalez | Licensed Practical Nurse | 119 121 W 124th Street, New York, NY 10027 | 2018-12-06 |
| 1003383456 | Ebony S Prescott | Specialist | 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027 | 2018-10-24 |
| 1619456589 | Arts of Optics Corp. | Optometrist | 200 W 125th St, New York, NY 10027 | 2018-08-10 |
| 1205355658 | Frederick Community Pharmacy Inc | Pharmacy | 2450 Frederick Douglas Blvd, New York, NY 10027 | 2017-09-18 |
| Find all providers in zip 10027 | ||||
| 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 |
|---|---|---|---|---|
| 1962999193 | Knickerbocker Dialysis Inc | Clinic/Center | 2408 Amsterdam Ave, New York, NY 10033-7320 | 2018-04-13 |
| 1811329162 | Avantus Renal Therapy New York, LLC | Clinic/Center | 120 E 16th St Fl 6, New York, NY 10003-2162 | 2013-08-08 |
| 1194014191 | River Renal Services, Inc. | Clinic/Center | 462 First Ave, Bellevue Hospital Center, Hospital Bldg 5 North, New York, NY 10016 | 2011-03-31 |
| 1326287566 | The New York and Presbyterian Hospital | Clinic/Center | 622 W 168th Street, 4th Floor, End Stage Renal Disease, New York, NY 10032-3720 | 2009-02-11 |
| 1053416859 | New York Dialysis Services, Inc. | Clinic/Center | 510-526 Avenue of Americas, New York, NY 10011 | 2006-09-14 |
| 1144325945 | New York Dialysis Services, Inc. | Clinic/Center | 2615 Frederick Douglas Blvd, #2621, New York, NY 10030-1705 | 2006-09-14 |
| 1871697649 | New York Dialysis Services, Inc. | Clinic/Center | 105 E 106th St, 1st Floor, New York, NY 10029-4623 | 2006-09-12 |
| 1235168436 | Lifecare Dialysis Center Inc | Clinic/Center | 221 W 61st St, New York, NY 10023-7832 | 2006-07-01 |
| 1265477889 | Empire State Dc Inc | Clinic/Center | 60 Haven Ave, B3, New York, NY 10032-2604 | 2006-06-18 |
| 1619944683 | Mount Sinai Hospital | Clinic/Center | 520 E 117th St, New York, NY 10035-4405 | 2006-03-08 |
| Find all providers in NEW YORK | ||||
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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.