1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Clinic Center
  6. NPI Profile

KNICKERBOCKER DIALYSIS INC
NPI 1245731876
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Staten Island, NY

Active since February 28, 2018
5/5
Overall Rating
30 SNEDEN AVE, STATEN ISLAND, NY 10312(718) 356-2678(718) 356-6376 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2025, Dec 13, 2023, Mar 9, 2021 and 1 more (4 updates tracked since 2018).

About Knickerbocker Dialysis Inc NPPES

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

KNICKERBOCKER DIALYSIS INC (NPI 1245731876), doing business as Staten Island South Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Staten Island, New York and active in the NPI registry since February 2018. The organization lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1245731876
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address30 SNEDEN AVEStaten Island, NY 10312-3637
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(718) 356-2678
Fax(718) 356-6376
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateFebruary 28, 2018
Last NPPES UpdateFebruary 24, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1245731876 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
30 SNEDEN AVE, Staten Island, NY 10312
Open in Google Maps ↗

Other Names 1

Doing Business AsStaten Island South Dialysis

Other Identifiers 1

Medicaid05821045NY

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 ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Staten Island Dialysis Clinic/ Akc (CMS certification number 332567), from CMS Care Compare.

Staten Island Dialysis Clinic/ Akc

Dialysis facility · Staten Island, NY
5/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
ChainDialysis Clinic, Inc.
CMS Certification Number332567
ESRD NetworkNetwork 2
Hemodialysis Stations26
Medicare-Certified SinceApril 18, 1997
Location1550 RICHMOND AVE. Suite 101Staten Island, NY 10314 · Richmond County
Phone(718) 983-7000
Services Offered
In-center hemodialysis Peritoneal dialysis

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
79% 5/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
69% 4/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
82% 4/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
62% 5/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
66% 4/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
71% 5/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

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 1245731876. It was assigned to this organization in the NPPES registry on February 28, 2018. The provider is doing business as Staten Island South Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 30 Sneden Ave, Staten Island, NY 10312. The listed phone number is (718) 356-2678.

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. Staten Island Dialysis Clinic/ Akc is a Medicare-certified dialysis facility, certified since April 18, 1997.

What quality rating does Knickerbocker Dialysis Inc have?

CMS rates Staten Island Dialysis Clinic/ Akc 5 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Knickerbocker Dialysis Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers 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 February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.