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KNICKERBOCKER DIALYSIS INC
NPI 1013253723
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Williamsville, NY

Active since December 27, 2012
1/5
Overall Rating
705 MAPLE RD, WILLIAMSVILLE, NY 14221(716) 630-6640(716) 630-6647 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2026, Dec 30, 2024, Jun 17, 2020 and 2 more (5 updates tracked since 2019).

About Knickerbocker Dialysis Inc NPPES

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

KNICKERBOCKER DIALYSIS INC (NPI 1013253723), doing business as Suburban Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Williamsville, New York and active in the NPI registry since December 2012. The organization lists Samuel Wey, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1013253723
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address705 MAPLE RDWilliamsville, NY 14221-3291
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(716) 630-6640
Fax(716) 630-6647
Organization SubpartNo
Authorized OfficialSamuel WeyAssistant Secretary · (615) 341-6641
Enumeration DateDecember 27, 2012
Last NPPES UpdateMarch 6, 20265 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1013253723 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
705 MAPLE RD, Williamsville, NY 14221
Open in Google Maps ↗

Other Names 1

Doing Business AsSuburban Dialysis Center

Other Identifiers 1

Medicaid01984981NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Suburban Dialysis (CMS certification number 332600), from CMS Care Compare.

DaVita Suburban Dialysis

Dialysis facility · Amherst, NY
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number332600
ESRD NetworkNetwork 2
Hemodialysis Stations22
Medicare-Certified SinceJanuary 5, 2000
Location705 Maple Road Suite 600Amherst, NY 14221 · Erie County
Phone(716) 630-6640
Services Offered
In-center hemodialysis Peritoneal dialysis

Other Providers at the Same Location NPPES 14

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

ALLISON MAZUREK PA-C
Physician Assistant (Surgical)
705 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 839-0632
DR. JAMES RUSSELL JR. DO
Internal Medicine (Clinical Cardiac Electrophysiology)
705 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 710-8266
DR. ANOOD BINT MASOOD SIDDIQUI MD
Student in an Organized Health Care Education/Training Program
705 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 580-7355
ARLEN ODALINA VENTURA CAMILO MD
Student in an Organized Health Care Education/Training Program
705 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 580-7355
LAUREN A SISKAR FNP-BC
Nurse Practitioner
705 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 710-8266
ZOE ALEXI KYRIAKOPOULOS PA-C
Physician Assistant
705 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 710-8266
JORGE OMAR FLORES LOPEZ M.D.
Internal Medicine
705 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 580-7355
ASHLEY DANIELLE KREMER
Family Medicine
705 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 631-8400

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 Knickerbocker Dialysis Inc's NPI number?

The NPI number for Knickerbocker Dialysis Inc is 1013253723. It was assigned to this organization in the NPPES registry on December 27, 2012. The provider is doing business as Suburban Dialysis Center.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 705 Maple Rd, Williamsville, NY 14221. The listed phone number is (716) 630-6640.

What is Knickerbocker Dialysis Inc's specialty?

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

Is Knickerbocker Dialysis Inc a Medicare-certified dialysis facility?

Yes. DaVita Suburban Dialysis is a Medicare-certified dialysis facility, certified since January 5, 2000.

What quality rating does Knickerbocker Dialysis Inc have?

CMS rates DaVita Suburban Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Knickerbocker Dialysis Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare list Knickerbocker Dialysis Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Knickerbocker Dialysis Inc was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.