UTICA AVENUE DIALYSIS CENTER
NPI 1073778379
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Brooklyn, NY

Active since July 25, 2008CLIA 33D1005736 · Waiver
1305 UTICA AVE, BROOKLYN, NY 11203(718) 629-3900(718) 629-6315 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Utica Avenue Dialysis Center NPPES

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

UTICA AVENUE DIALYSIS CENTER (NPI 1073778379) 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 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jim Hilger, Vice President, as its authorized official.

NPPES Registry Identity

NPI1073778379
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDAVITA OF NEW YORK INC
Location Address1305 UTICA AVEBrooklyn, NY 11203-5911
Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4521 · Fax (866) 594-2894
Fax(718) 629-6315
Organization SubpartNo
Authorized OfficialJim HilgerVice President · (253) 382-1919
Enumeration DateJuly 25, 2008
NPI 1073778379 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
1305 UTICA AVE, Brooklyn, NY 11203

Other Names 1

Doing Business AsUtica Avenue Dialysis Center

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 33D1005736

Utica Avenue Dialysis · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D1005736
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 30, 2002
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Carline M. Guirand
Laboratory Phone(718) 629-3900
Laboratory LocationUtica Avenue Dialysis1305 Utica Avenue, Brooklyn, NY 11203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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)
1305 UTICA AVE
BROOKLYN, NY 11203

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 Davita Of New York Inc's NPI number?

The NPI number for Davita Of New York Inc is 1073778379. It was assigned to this organization in the NPPES registry on July 25, 2008. The provider is doing business as Utica Avenue Dialysis Center.

Where is Davita Of New York Inc located?

Davita Of New York Inc is located at 1305 Utica Ave, Brooklyn, NY 11203. The listed phone number is (718) 629-3900.

What is Davita Of New York 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 Davita Of New York Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1005736) 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 Davita Of New York Inc was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.