1. Home
  2. Directory
  3. New York
  4. Springfield Gardens
  5. Clinic Center
  6. NPI Profile

KNICKERBOCKER DIALYSIS INC
NPI 1114546256
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Springfield Gardens, NY

Active since April 09, 2020
3/5
Overall Rating
21910 S CONDUIT AVE, SPRINGFIELD GARDENS, NY 11413(718) 341-0107(718) 341-2255 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Knickerbocker Dialysis Inc NPPES

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

KNICKERBOCKER DIALYSIS INC (NPI 1114546256), doing business as Conduit Avenue Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Springfield Gardens, New York and active in the NPI registry since April 2020. The organization lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1114546256
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address21910 S CONDUIT AVESpringfield Gardens, NY 11413-3462
Mailing Address5200 Virginia Way, L And C DeptBrentwood, TN 37027-7569 · (615) 320-4414 · Fax (866) 865-2884
Phone(718) 341-0107
Fax(718) 341-2255
Organization SubpartYesParent: Davita Inc
Authorized OfficialJohn D WinstelChief Accounting Officer · (615) 320-4414
Enumeration DateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1114546256 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
21910 S CONDUIT AVE, Springfield Gardens, NY 11413
Open in Google Maps ↗

Other Names 1

Doing Business AsConduit Avenue Dialysis

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Conduit Avenue Dialysis (CMS certification number 332823), from CMS Care Compare.

DaVita Conduit Avenue Dialysis

Dialysis facility · Springfield Gardens, NY
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number332823
ESRD NetworkNetwork 2
Hemodialysis Stations29
Medicare-Certified SinceMarch 10, 2021
Location219-10 S. Conduit AveSpringfield Gardens, NY 11413 · Queens County
Phone(718) 341-0107
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 6

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

MR. NEVILLE A FLOWERS PT
Physical Therapist
21910 S CONDUIT AVE
SPRINGFIELD GARDENS, NY 11413
Queens County (718) 525-8109
MS. JOYCE JAMES L.C.S.W - R; BCD
Social Worker (Clinical)
21910 S CONDUIT AVE
SPRINGFIELD GARDENS, NY 11413
Queens County (718) 847-0976
MS. KAREN ANN JARRETT
Physical Therapist
21910 S CONDUIT AVE
SPRINGFIELD GARDENS, NY 11413
Queens County (718) 525-8109
TRUE NORTH DIALYSIS CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
21910 S CONDUIT AVE
SPRINGFIELD GARDENS, NY 11413
Queens County (718) 341-0107
PRIMO CARE FOR SENIORS
Nursing Care
21910 S CONDUIT AVE
SPRINGFIELD GARDENS, NY 11413
Queens County (917) 299-5959
CONDUIT SOCIAL ADULT DAY CARE CENTRE LLC
Clinic/Center (Adult Day Care)
21910 S CONDUIT AVE
SPRINGFIELD GARDENS, NY 11413
Queens County (917) 723-5713

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 1114546256. It was assigned to this organization in the NPPES registry on April 9, 2020. The provider is doing business as Conduit Avenue Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 21910 S Conduit Ave, Springfield Gardens, NY 11413. The listed phone number is (718) 341-0107.

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.

Is Knickerbocker Dialysis Inc a Medicare-certified dialysis facility?

Yes. DaVita Conduit Avenue Dialysis is a Medicare-certified dialysis facility, certified since March 10, 2021.

What quality rating does Knickerbocker Dialysis Inc have?

CMS rates DaVita Conduit Avenue Dialysis 3 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 Knickerbocker Dialysis Inc was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.