LITTLE NECK DIALYSIS
NPI 1174018329
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Little Neck, NY

NPI Status: Active since June 28, 2018

Contact Information

25217 NORTHERN BLVD
LITTLE NECK, NY
ZIP 11362
Phone: (718) 292-3598
Fax: (718) 292-3593

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 33D2178861
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 03-26-2027

About LITTLE NECK DIALYSIS

This page provides the complete NPI Profile along with additional information for Little Neck Dialysis, a provider established in Little Neck, New York operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1174018329 assigned on June 2018. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Little Neck Dialysis. The authorized official of this NPI record is James Hilger (Chief Accounting Officer)

NPI
1174018329
Provider Legal Name
KNICKERBOCKER DIALYSIS INC
Other Organization Name
LITTLE NECK DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
25217 NORTHERN BLVD LITTLE NECK, NY 11362
Location Phone
(718) 292-3598
Location Fax
(718) 292-3593
Mailing Address
5200 VIRGINIA WAY L AND C DEPT BRENTWOOD, TN 37027
Mailing Phone
(615) 320-4414
Mailing Fax
(718) 292-3593
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2018
Last Update Date
06-28-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMES HILGER

Authorized Official Title
CHIEF ACCOUNTING OFFICER
Authorized Official Phone
(615) 320-4414

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2178861
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
February 11, 2020
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. GERARD J. TEPEDINO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Little Neck Dialysis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174018329, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 0 + 1 + 1 + 6 + 3 + 4 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1174018329.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174018329, enumerated as an "organization" on June 28, 2018.

The provider is located at 25217 NORTHERN BLVD LITTLE NECK, NY 11362 and the phone number is (718) 292-3598.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.