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HERTEL AVENUE DIALYSIS
NPI 1245763804
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Buffalo, NY

Active since April 10, 2017
699 HERTEL AVE, STE 380, BUFFALO, NY 14207(716) 871-4172(716) 447-0230 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 16, 2020, Jan 4, 2019, Apr 10, 2017 (3 updates tracked since 2017).

About Hertel Avenue Dialysis NPPES

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

HERTEL AVENUE DIALYSIS (NPI 1245763804) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Buffalo, New York and active in the NPI registry since April 2017. The organization lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1245763804
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLIBERTY RC INC
Location Address699 HERTEL AVE, STE 380Buffalo, NY 14207-2355
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569 · (615) 341-6410 · Fax (888) 662-8259
Phone(716) 871-4172
Fax(716) 447-0230
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateApril 10, 2017
Last NPPES UpdateNovember 16, 20203 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
✔ NPI 1245763804 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
699 HERTEL AVE, Buffalo, NY 14207
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Other Names 1

Doing Business AsHertel Avenue Dialysis

Other Identifiers 1

Medicaid04945837NY

Other Providers at the Same Location NPPES 20

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

MISS JILLIAN WARNER SR. MS
Counselor (Addiction (Substance Use Disorder))
699 HERTEL AVE, SUITE 350
BUFFALO, NY 14207
Erie County (716) 831-1977
MS. ERICA M KING MSW
Social Worker (Clinical)
699 HERTEL AVE, SUITE 350
BUFFALO, NY 14207
Erie County (716) 831-1977
MRS. MARION RUTH KIEKBUSCH BA.CASAC
Counselor (Mental Health)
699 HERTEL AVE, SUITE 350
BUFFALO, NY 14207
Erie County (716) 831-1977
MS. JEAN M RILEY RN
Registered Nurse
699 HERTEL AVE, SUITE 350
BUFFALO, NY 14207
Erie County (716) 834-0282
MISS LAURA HELDA MS
Counselor
699 HERTEL AVE
BUFFALO, NY 14207
Erie County (716) 831-1977
MR. MICHAEL DAVID SPIN
Social Worker
699 HERTEL AVE
BUFFALO, NY 14207
Erie County (716) 831-1977
MRS. NICOLE LYNN NORTON BS, CASAC-T
Counselor (Addiction (Substance Use Disorder))
699 HERTEL AVE
BUFFALO, NY 14207
Erie County (716) 831-1977
ANGELA MANNO
Counselor
699 HERTEL AVE
BUFFALO, NY 14207
Erie County (716) 831-1977

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 Liberty Rc Inc's NPI number?

The NPI number for Liberty Rc Inc is 1245763804. It was assigned to this organization in the NPPES registry on April 10, 2017. The provider is doing business as Hertel Avenue Dialysis.

Where is Liberty Rc Inc located?

Liberty Rc Inc is located at 699 Hertel Ave Ste 380, Buffalo, NY 14207. The listed phone number is (716) 871-4172.

What is Liberty Rc 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.

When was this NPI record last updated?

The NPPES record for Liberty Rc Inc was last updated on November 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.