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KNICKERBOCKER DIALYSIS INC
NPI 1124364864
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Orchard Park, NY

Active since December 28, 2012
3801 TAYLOR RD, ORCHARD PARK, NY 14127(716) 209-7200(716) 209-7206 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Dec 30, 2024, Feb 12, 2021 and 1 more (4 updates tracked since 2019).

About Knickerbocker Dialysis Inc NPPES

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

KNICKERBOCKER DIALYSIS INC (NPI 1124364864), doing business as Orchard Park Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Orchard Park, New York and active in the NPI registry since December 2012. The organization lists Samuel Wey, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1124364864
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address3801 TAYLOR RDOrchard Park, NY 14127-2232
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(716) 209-7200
Fax(716) 209-7206
Organization SubpartNo
Authorized OfficialSamuel WeyAssistant Secretary · (615) 341-6641
Enumeration DateDecember 28, 2012
Last NPPES UpdateMarch 24, 20264 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1124364864 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
3801 TAYLOR RD, Orchard Park, NY 14127
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Other Names 1

Doing Business AsOrchard Park Dialysis Center

Other Identifiers 1

Medicaid03010088NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES

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

WESTERN NEW YORK DC, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3801 TAYLOR RD
ORCHARD PARK, NY 14127
Erie County (716) 209-7200

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 1124364864. It was assigned to this organization in the NPPES registry on December 28, 2012. The provider is doing business as Orchard Park Dialysis Center.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 3801 Taylor Rd, Orchard Park, NY 14127. The listed phone number is (716) 209-7200.

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.

What insurance does Knickerbocker Dialysis Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare list Knickerbocker Dialysis Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Knickerbocker Dialysis Inc was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.