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

FREEPORT KIDNEY CENTER
NPI 1265697643
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Freeport, NY

Active since July 24, 2008CLIA 33D0153089 · Waiver
267 W MERRICK RD, FREEPORT, NY 11520(516) 379-5000(516) 379-0257 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Freeport Kidney Center NPPES

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

FREEPORT KIDNEY CENTER (NPI 1265697643) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Freeport, New York and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jim Hilger, Vice President, as its authorized official.

NPPES Registry Identity

NPI1265697643
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDAVITA OF NEW YORK INC
Location Address267 W MERRICK RDFreeport, NY 11520-3346
Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4521 · Fax (866) 594-2894
Phone(516) 379-5000
Fax(516) 379-0257
Organization SubpartNo
Authorized OfficialJim HilgerVice President · (253) 382-1919
Enumeration DateJuly 24, 2008
✔ NPI 1265697643 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
267 W MERRICK RD, Freeport, NY 11520
Open in Google Maps ↗

Other Names 1

Doing Business AsFreeport Kidney Center

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 33D0153089

Freeport Kidney Center · Freeport, NY
Active · expires Mar 26, 2027
CLIA Number33D0153089
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 17, 2008
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Paul Friedmann
Laboratory Phone(516) 623-1786
Laboratory LocationFreeport Kidney Center351 S Main Street, Freeport, NY 11520
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. SHAFFEEULAH BACCHUS PHARM.D.
Pharmacist (Pharmacotherapy)
267 W MERRICK RD
FREEPORT, NY 11520
Nassau County (718) 938-3274
MS. NATALIE NADIA LACHMAN ARNP
Nurse Practitioner (Family)
267 W MERRICK RD
FREEPORT, NY 11520
Nassau County (800) 424-6589
NANCY JEAN PELFREY NP
Nurse Practitioner (Acute Care)
267 W MERRICK RD, SECOND FLOOR
FREEPORT, NY 11520
Nassau County (516) 379-5000

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 Davita Of New York Inc's NPI number?

The NPI number for Davita Of New York Inc is 1265697643. It was assigned to this organization in the NPPES registry on July 24, 2008. The provider is doing business as Freeport Kidney Center.

Where is Davita Of New York Inc located?

Davita Of New York Inc is located at 267 W Merrick Rd, Freeport, NY 11520. The listed phone number is (516) 379-5000.

What is Davita Of New York 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 Davita Of New York Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0153089) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Davita Of New York Inc was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.