MOUNT VERNON DIALYSIS LLC
NPI 1013107358
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mount Vernon, NY

Active since August 01, 2007CLIA 33D2173873 · Waiver
2/5
Overall Rating
12 N 7TH AVENUE, 3RD FLOOR, MOUNT VERNON, NY 10550(914) 665-4343(914) 665-2982 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mount Vernon Dialysis Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNT VERNON DIALYSIS LLC (NPI 1013107358) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mount Vernon, New York and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Christopher Obhokhan Adubor, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1013107358
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMOUNT VERNON DIALYSIS LLC
Location Address12 N 7TH AVENUE, 3RD FLOORMount Vernon, NY 10550-2026
Mailing Address12 N 7th Ave, 3rd FloorMount Vernon, NY 10550-2026 · (914) 665-4343 · Fax (914) 665-2982
Fax(914) 665-2982
Organization SubpartNo
Authorized OfficialChristopher Obhokhan AduborMedical Director · (914) 665-4343
Enumeration DateAugust 1, 2007
Last NPPES UpdateNovember 11, 2008
NPI 1013107358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
12 N 7TH AVENUE, Mount Vernon, NY 10550

Other Identifiers 1

Medicare OSCAR/certification332661NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2173873

Mount Vernon Dialysis LLC · Mount Vernon, NY
Active · expires Mar 26, 2027
CLIA Number33D2173873
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 21, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Christopher O. Adubor
Laboratory Phone(914) 665-4343
Laboratory LocationMount Vernon Dialysis LLC12 N 7th Ave - 3rd Floor, Mount Vernon, NY 10550
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Mount Vernon Dialysis,llc (CMS certification number 332661), from CMS Care Compare.

Mount Vernon Dialysis,llc

Dialysis facility · Mount Vernon, NY
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number332661
ESRD NetworkNetwork 2
Hemodialysis Stations24
Medicare-Certified SinceOctober 8, 2008
Location12 NORTH 7th AVENUE 3rd FLOORMount Vernon, NY 10550 · Westchester County
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
12 N 7TH AVENUE, ROOM 501
MT VERNON, NY 10550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mount Vernon Dialysis LLC's NPI number?

The NPI number for Mount Vernon Dialysis LLC is 1013107358. It was assigned to this organization in the NPPES registry on August 1, 2007.

Where is Mount Vernon Dialysis LLC located?

Mount Vernon Dialysis LLC is located at 12 N 7th Avenue 3rd Floor, Mount Vernon, NY 10550. The listed phone number is (914) 665-4343.

What is Mount Vernon Dialysis LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Mount Vernon Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2173873) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Mount Vernon Dialysis LLC a Medicare-certified dialysis facility?

Yes. Mount Vernon Dialysis,llc is a Medicare-certified dialysis facility, certified since October 8, 2008.

What quality rating does Mount Vernon Dialysis LLC have?

CMS rates Mount Vernon Dialysis,llc 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Mount Vernon Dialysis LLC was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.