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FREEDOM CENTER OF QUEENS
NPI 1083005573
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fresh Meadows, NY

Active since February 05, 2015CLIA 33D2101949 · Waiver
5/5
Overall Rating
17627 UNION TPKE, FRESH MEADOWS, NY 11366(718) 969-3293(718) 969-3927 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Freedom Center Of Queens NPPES

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

FREEDOM CENTER OF QUEENS (NPI 1083005573) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fresh Meadows, New York and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Mark Caputo, President, as its authorized official.

NPPES Registry Identity

NPI1083005573
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameVESTAL HEALTHCARE LLC
Location Address17627 UNION TPKEFresh Meadows, NY 11366-1515
Mailing Address17627 Union TpkeFresh Meadows, NY 11366-1515 · (718) 969-3293 · Fax (718) 969-3927
Phone(718) 969-3293
Fax(718) 969-3927
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialMark CaputoPresident · (206) 816-6505
Enumeration DateFebruary 5, 2015
Last NPPES UpdateOctober 27, 2016
✔ NPI 1083005573 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
17627 UNION TPKE, Fresh Meadows, NY 11366
Open in Google Maps ↗

Other Names 1

Doing Business AsFreedom Center Of Queens

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 33D2101949

Freedom Center Of Queens · Fresh Meadows, NY
Active · expires Mar 26, 2027
CLIA Number33D2101949
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 2, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Dharmeshkumar Sutariya
Laboratory Phone(718) 969-3293
Laboratory LocationFreedom Center Of Queens176-35 Union Turnpike, Fresh Meadows, NY 11366
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for FMC - Freedom Center of Queens (CMS certification number 332743), from CMS Care Compare.

FMC - Freedom Center of Queens

Dialysis facility · Fresh Meadows, NY
5/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainFresenius Medical Care
CMS Certification Number332743
ESRD NetworkNetwork 2
Hemodialysis Stations1
Medicare-Certified SinceDecember 19, 2016
Location176-35 Union TurnpikeFresh Meadows, NY 11366 · Queens County
Phone(718) 969-3293
Services Offered
Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES

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

MR. TAHIR HAFEEZ MD
Internal Medicine (Nephrology)
17627 UNION TPKE
FRESH MEADOWS, NY 11366
Queens County (347) 460-4253

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 Vestal Healthcare LLC's NPI number?

The NPI number for Vestal Healthcare LLC is 1083005573. It was assigned to this organization in the NPPES registry on February 5, 2015. The provider is doing business as Freedom Center Of Queens.

Where is Vestal Healthcare LLC located?

Vestal Healthcare LLC is located at 17627 Union Tpke, Fresh Meadows, NY 11366. The listed phone number is (718) 969-3293.

What is Vestal Healthcare 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 Vestal Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2101949) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Vestal Healthcare LLC a Medicare-certified dialysis facility?

Yes. FMC - Freedom Center of Queens is a Medicare-certified dialysis facility, certified since December 19, 2016.

What quality rating does Vestal Healthcare LLC have?

CMS rates FMC - Freedom Center of Queens 5 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Vestal Healthcare LLC was last updated on October 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.