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MOUNT EDEN DIALYSIS
NPI 1063911659
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Bronx, NY

Active since February 08, 2018
1490 MACOMBS RD, BRONX, NY 10452(718) 588-2347(718) 293-8906 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mount Eden Dialysis NPPES

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

MOUNT EDEN DIALYSIS (NPI 1063911659) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Bronx, New York and active in the NPI registry since February 2018. The organization lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1063911659
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address1490 MACOMBS RDBronx, NY 10452-2101
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 341-6410 · Fax (888) 662-8259
Phone(718) 588-2347
Fax(718) 293-8906
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateFebruary 8, 2018
Last NPPES UpdateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1063911659 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
1490 MACOMBS RD, Bronx, NY 10452
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Other Names 1

Doing Business AsMount Eden Dialysis

Other Identifiers 1

Medicaid05820719NY

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 1063911659. It was assigned to this organization in the NPPES registry on February 8, 2018. The provider is doing business as Mount Eden Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 1490 Macombs Rd, Bronx, NY 10452. The listed phone number is (718) 588-2347.

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.

When was this NPI record last updated?

The NPPES record for Knickerbocker Dialysis Inc was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.