EAST ISLIP DIALYSIS
NPI 1063895597
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in East Islip, NY

Active since July 01, 2015CLIA 33D2105308 · Waiver
200 CARLETON AVE, EAST ISLIP, NY 11730(631) 224-3350(631) 224-3355 Get Directions Write a Review

NPPES record last updated: July 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Islip Dialysis NPPES

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

EAST ISLIP DIALYSIS (NPI 1063895597) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in East Islip, New York and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists James K Hilger, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1063895597
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address200 CARLETON AVEEast Islip, NY 11730-1222
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569 · (615) 320-4414 · Fax (866) 865-2884
Fax(631) 224-3355
Organization SubpartNo
Authorized OfficialJames K HilgerChief Accounting Officer · (253) 733-4500
Enumeration DateJuly 1, 2015
Last NPPES UpdateJuly 2, 2015
NPI 1063895597 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
200 CARLETON AVE, East Islip, NY 11730

Other Names 1

Doing Business AsEast Islip Dialysis

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 33D2105308

East Islip Dialysis · East Islip, NY
Active · expires Mar 26, 2027
CLIA Number33D2105308
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 23, 2015
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Sushil Sagar
Laboratory Phone(631) 581-0897
Laboratory LocationEast Islip Dialysis200 Carleton Ave, East Islip, NY 11730
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 4

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
200 CARLETON AVE
EAST ISLIP, NY 11730
Counselor (Mental Health)
200 CARLETON AVE
EAST ISLIP, NY 11730
Durable Medical Equipment & Medical Supplies
200 CARLETON AVE
EAST ISLIP, NY 11730
Counselor (Mental Health)
200 CARLETON AVE
EAST ISLIP, NY 11730

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 1063895597. It was assigned to this organization in the NPPES registry on July 1, 2015. The provider is doing business as East Islip Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 200 Carleton Ave, East Islip, NY 11730. The listed phone number is (631) 224-3350.

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.

Does Knickerbocker Dialysis Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2105308) 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 Knickerbocker Dialysis Inc was last updated on July 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.