KNICKERBOCKER DIALYSIS INC


Address: 34 Marconi St Ste 110, Bronx, NY 10461-2755
Phone: 9292865280

KNICKERBOCKER DIALYSIS INC (NPI# 1902456742) 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) 1902456742
Entity Type Organization
Organization Name KNICKERBOCKER DIALYSIS INC
Other Organization Name BRONXCHESTER HOME TRAINING
Practice Address 34 Marconi St Ste 110
Bronx
NY 10461-2755
Mailing Address 5200 Virginia Way
L and C Dept
Brentwood
TN 37027-7569
Practice Telephone 9292865280
Practice Fax Number 9292865281
Mailing Telephone 6153204414
Mailing Fax Number 8668652884
Enumeration Date 2019-09-13
Last Update Date 2020-04-20
Authorized Official Name JOHN WINSTEL (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
Bronxchester Home Training 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
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
1487133633 Knickerbocker Dialysis Inc Clinic/Center 54 New Lots Ave, Brooklyn, NY 11212-6934 2018-08-08

Office Location

Street Address 34 MARCONI ST STE 110
City BRONX
State NY
Zip Code 10461-2755

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427665975 Zhanna Kleynerman Pharmacist R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 2020-09-29
1245867738 Dalia Duzdar Student in an Organized Health Care Education/Training Program 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 2020-03-24
1306486667 Alvin Antony Mathew Physical Therapist 1500 Blondell Ave., Bronx, NY 10461 2020-01-14
1295374007 Felicia Bowman Peer Specialist 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 2019-12-26
1477191161 Todd Benevento Jr. Physical Therapist 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 2019-12-13
1073173845 Harriet Sarpong-blankson Pharmacist Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 2019-06-14
1396300166 Victoria Sliva Psychologist 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 2019-05-07
1538723366 Shuai Wang Student in an Organized Health Care Education/Training Program 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 2019-04-26
1457810079 Morpheus Sleep Solutions Inc Durable Medical Equipment & Medical Supplies 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 2019-03-13
1922565118 Metro Care Management LLC Case Management 2481 Rowe St, Bronx, NY 10461 2019-02-25
Find all providers in zip 10461

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
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
1033582283 Usrc Pelham, LLC Clinic/Center 1225a Morris Park Ave, Bronx, NY 10461-1929 2015-11-10
Find all providers in BRONX

Competitor

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City BRONX
Zip Code 10461

Improve Information

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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.

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