DITMAS PARK DIALYSIS CENTER LLC
NPI 1023587854
Registered Nurse - Dialysis, Peritoneal in Brooklyn, NY

Active since November 22, 2018CLIA 33D2277945 · Waiver
2107 DITMAS AVE, BROOKLYN, NY 11226(718) 462-8100 Get Directions Write a Review

NPPES record last updated: November 22, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ditmas Park Dialysis Center Llc NPPES

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

DITMAS PARK DIALYSIS CENTER LLC (NPI 1023587854) is a healthcare organization registered as a dialysis, peritoneal in Brooklyn, New York and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027, maintains a secondary practice location in Brooklyn, and lists Shabse Oberlander, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023587854
Entity TypeOrganization
Primary Taxonomy163WD1100X
Legal Business NameDITMAS PARK DIALYSIS CENTER LLC
Location Address2107 DITMAS AVEBrooklyn, NY 11226-6903
Mailing Address2107 Ditmas AveBrooklyn, NY 11226-6903 · (718) 462-8100
Organization SubpartNo
Authorized OfficialShabse OberlanderCeo · (718) 462-8100
Enumeration DateNovember 22, 2018
NPI 1023587854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Dialysis, PeritonealNursing Service Providers
Taxonomy Code163WD1100X
2107 DITMAS AVE, Brooklyn, NY 11226

Secondary Practice Location 1

Location 12107 Ditmas AveBrooklyn, NY 11226-6903 · Phone (718) 462-8100

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 33D2277945

Ditmas Park Dialysis Center · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2277945
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 8, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Subodh J. Saggi
Laboratory Phone(718) 462-8500
Laboratory LocationDitmas Park Dialysis Center2107 Ditmas Ave - Suite Dialysis, Brooklyn, NY 11226
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
2107 DITMAS AVE
BROOKLYN, NY 11226
Optometrist
2107 DITMAS AVE
BROOKLYN, NY 11226
Nurse Practitioner (Pediatrics)
2107 DITMAS AVE
BROOKLYN, NY 11226
Skilled Nursing Facility
2107 DITMAS AVE
BROOKLYN, NY 11226
Nurse Practitioner (Primary Care)
2107 DITMAS AVE
BROOKLYN, NY 11226
Social Worker
2107 DITMAS AVE
BROOKLYN, NY 11226
Skilled Nursing Facility (Nursing Care, Pediatric)
2107 DITMAS AVE
BROOKLYN, NY 11226
Nurse Practitioner (Pediatrics)
2107 DITMAS AVE
BROOKLYN, NY 11226

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 Ditmas Park Dialysis Center LLC's NPI number?

The NPI number for Ditmas Park Dialysis Center LLC is 1023587854. It was assigned to this organization in the NPPES registry on November 22, 2018.

Where is Ditmas Park Dialysis Center LLC located?

Ditmas Park Dialysis Center LLC is located at 2107 Ditmas Ave, Brooklyn, NY 11226. The listed phone number is (718) 462-8100.

What is Ditmas Park Dialysis Center LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Dialysis, Peritoneal, with taxonomy code 163WD1100X.

Does Ditmas Park Dialysis Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2277945) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ditmas Park Dialysis Center LLC was last updated on November 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.