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KNICKERBOCKER DIALYSIS INC
NPI 1205461639
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Middle Island, NY

Active since March 05, 2020
1277 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953(631) 205-0132(631) 205-0171 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Knickerbocker Dialysis Inc NPPES

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

KNICKERBOCKER DIALYSIS INC (NPI 1205461639), doing business as Middle Island Home Training, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Middle Island, New York and active in the NPI registry since March 2020. The organization lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1205461639
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address1277 MIDDLE COUNTRY RDMiddle Island, NY 11953
Mailing Address5200 Virginia Way, L And C DeptBrentwood, TN 37027-7569 · (615) 320-4414 · Fax (866) 865-2884
Phone(631) 205-0132
Fax(631) 205-0171
Organization SubpartYesParent: Davita Inc
Authorized OfficialJohn D WinstelChief Accounting Officer · (615) 320-4414
Enumeration DateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
✔ NPI 1205461639 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
1277 MIDDLE COUNTRY RD, Middle Island, NY 11953
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Other Names 1

Doing Business AsMiddle Island Home Training

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Middle Island Home Training (PD/HHD) (CMS certification number 332842), from CMS Care Compare.

DaVita Middle Island Home Training (PD/HHD)

Dialysis facility · Middle Island, NY
OwnershipProfit
ChainDaVita
CMS Certification Number332842
ESRD NetworkNetwork 2
Hemodialysis Stations1
Medicare-Certified SinceJuly 18, 2022
Location1277 MIDDLE COUNTRY RDMiddle Island, NY 11953 · Suffolk County
Phone(631) 205-0132
Services Offered
Peritoneal dialysis

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 1205461639. It was assigned to this organization in the NPPES registry on March 5, 2020. The provider is doing business as Middle Island Home Training.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 1277 Middle Country Rd, Middle Island, NY 11953. The listed phone number is (631) 205-0132.

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 Middle Island Home Training (PD/HHD) is a Medicare-certified dialysis facility, certified since July 18, 2022.

When was this NPI record last updated?

The NPPES record for Knickerbocker Dialysis Inc was last updated on March 5, 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.