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CROSSWAYS PARK DIALYSIS
NPI 1154856029
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Woodbury, NY

Active since April 27, 2017CLIA 33D2138147 · Waiver
5/5
Overall Rating
113 CROSSWAYS PARK DR, SUITE 102, WOODBURY, NY 11797(516) 921-0914(516) 364-0164 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crossways Park Dialysis NPPES

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

CROSSWAYS PARK DIALYSIS (NPI 1154856029) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Woodbury, New York and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists James K Hilger, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1154856029
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address113 CROSSWAYS PARK DR, SUITE 102Woodbury, NY 11797-2044
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569 · (615) 320-4414 · Fax (866) 865-2884
Phone(516) 921-0914
Fax(516) 364-0164
Organization SubpartNo
Authorized OfficialJames K HilgerChief Accounting Officer · (615) 320-4414
Enumeration DateApril 27, 2017
✔ NPI 1154856029 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
113 CROSSWAYS PARK DR, Woodbury, NY 11797
Open in Google Maps ↗

Other Names 1

Doing Business AsCrossways Park Dialysis

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 33D2138147

Crossways Park Dialysis · Woodbury, NY
Active · expires Mar 26, 2027
CLIA Number33D2138147
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 11, 2017
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Jeffrey T. Cohen
Laboratory Phone(516) 921-0914
Laboratory LocationCrossways Park Dialysis113 Crossways Park Dr - Suite 102, Woodbury, NY 11797
CLIA data matches this NPI record on: Address 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 DaVita Crossways Park Dialysis (CMS certification number 332773), from CMS Care Compare.

DaVita Crossways Park Dialysis

Dialysis facility · Woodbury, NY
5/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number332773
ESRD NetworkNetwork 2
Hemodialysis Stations17
Medicare-Certified SinceSeptember 1, 2018
Location113 Crossways Park Dr Suite 102Woodbury, NY 11797 · Nassau County
Phone(516) 921-0914
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 5

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

TRUE NORTH DIALYSIS CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
113 CROSSWAYS PARK DR, STE 102
WOODBURY, NY 11797
Nassau County (516) 921-0914
MELANIE HERZFELD, AU.D. AUDIOLOGIST PC
Audiologist
113 CROSSWAYS PARK DR, SUITE 101
WOODBURY, NY 11797
Nassau County (516) 364-0011
DR. MELANIE HERZFELD AU.D.
Audiologist
113 CROSSWAYS PARK DR, SUITE 101
WOODBURY, NY 11797
Nassau County (516) 364-0011
DR. POLINA SHUMINSKY AU.D.
Audiologist
113 CROSSWAYS PARK DR, STE 101
WOODBURY, NY 11797
Nassau County (212) 523-6815
MS. DIANA CALLESANO AU.D.
Audiologist
113 CROSSWAYS PARK DR, SUITE 101
WOODBURY, NY 11797
Nassau County (516) 364-0011

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 1154856029. It was assigned to this organization in the NPPES registry on April 27, 2017. The provider is doing business as Crossways Park Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 113 Crossways Park Dr Suite 102, Woodbury, NY 11797. The listed phone number is (516) 921-0914.

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.

Does Knickerbocker Dialysis Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2138147) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Knickerbocker Dialysis Inc a Medicare-certified dialysis facility?

Yes. DaVita Crossways Park Dialysis is a Medicare-certified dialysis facility, certified since September 1, 2018.

What quality rating does Knickerbocker Dialysis Inc have?

CMS rates DaVita Crossways Park Dialysis 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 Knickerbocker Dialysis Inc was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.