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TIDAL DIALYSIS LLC
NPI 1033093356
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Brooklyn, NY

Active since July 31, 2025CLIA 33D2340428 · Waiver
336 HIMROD ST, BROOKLYN, NY 11237(718) 899-0060(718) 559-6758 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tidal Dialysis Llc NPPES

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

TIDAL DIALYSIS LLC (NPI 1033093356) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Brooklyn, New York and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Premila Bhat, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1033093356
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTIDAL DIALYSIS LLC
Location Address336 HIMROD STBrooklyn, NY 11237-4871
Mailing Address385 Seneca AveRidgewood, NY 11385-1340 · (718) 899-0060 · Fax (718) 559-6758
Phone(718) 899-0060
Fax(718) 559-6758
Organization SubpartNo
Authorized OfficialPremila BhatManaging Member · (718) 899-0060
Enumeration DateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1033093356 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
336 HIMROD ST, Brooklyn, NY 11237
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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 33D2340428

Tidal Dialysis LLC · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2340428
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Premila Bhat
Laboratory Phone(718) 899-0060
Laboratory LocationTidal Dialysis LLC342 Himrod St, Brooklyn, NY 11237
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tidal Dialysis LLC's NPI number?

The NPI number for Tidal Dialysis LLC is 1033093356. It was assigned to this organization in the NPPES registry on July 31, 2025.

Where is Tidal Dialysis LLC located?

Tidal Dialysis LLC is located at 336 Himrod St, Brooklyn, NY 11237. The listed phone number is (718) 899-0060.

What is Tidal 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 Tidal Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2340428) 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 Tidal Dialysis LLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.