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

MAIN STREET DIALYSIS CENTER LLC
NPI 1306203609
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Freeport, NY

Active since January 19, 2016CLIA 33D2118850 · Waiver
1/5
Overall Rating
3 N MAIN ST, FREEPORT, NY 11520(516) 825-2076 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2023, Jan 25, 2023, Jan 19, 2016 (3 updates tracked since 2016).

About Main Street Dialysis Center Llc NPPES

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

MAIN STREET DIALYSIS CENTER LLC (NPI 1306203609) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Freeport, New York and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Iheanyichukwu Aja-onu, Member, as its authorized official.

NPPES Registry Identity

NPI1306203609
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMAIN STREET DIALYSIS CENTER LLC
Location Address3 N MAIN STFreeport, NY 11520-2218
Mailing AddressPo Box 037216Elmont, NY 11003-7216 · (516) 771-7112
Phone(516) 825-2076
Organization SubpartNo
Authorized OfficialIheanyichukwu Aja-onuMember · (516) 771-7112
Enumeration DateJanuary 19, 2016
Last NPPES UpdateMay 4, 20233 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1306203609 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
License✔ Licensed in NY · 052083-B
3 N MAIN ST, Freeport, NY 11520
Open in Google Maps ↗

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 33D2118850

Main Street Dialysis Center LLC · Freeport, NY
Active · expires Mar 26, 2027
CLIA Number33D2118850
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 15, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Iheanyichukwu Aja-Onu
Laboratory Phone(516) 825-2076
Laboratory LocationMain Street Dialysis Center LLC3 N Main Street, Freeport, NY 11520
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Main Street Dialysis Center, LLC (CMS certification number 332753), from CMS Care Compare.

Main Street Dialysis Center, LLC

Dialysis facility · Freeport, NY
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number332753
ESRD NetworkNetwork 2
Hemodialysis Stations24
Medicare-Certified SinceApril 28, 2017
Location3 North Main StreetFreeport, NY 11520 · Nassau County
Phone(516) 771-7112
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 2

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

IHEANYICHUKWU AJA-ONU M.D.
Internal Medicine (Gastroenterology)
3 N MAIN ST
FREEPORT, NY 11520
Nassau County (516) 623-5076
MAIN STREET KIDNEY GROUP
Internal Medicine (Nephrology)
3 N MAIN ST
FREEPORT, NY 11520
Nassau County (516) 623-5076

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 Main Street Dialysis Center LLC's NPI number?

The NPI number for Main Street Dialysis Center LLC is 1306203609. It was assigned to this organization in the NPPES registry on January 19, 2016.

Where is Main Street Dialysis Center LLC located?

Main Street Dialysis Center LLC is located at 3 N Main St, Freeport, NY 11520. The listed phone number is (516) 825-2076.

What is Main Street Dialysis Center LLC'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 Main Street Dialysis Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2118850) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Main Street Dialysis Center LLC a Medicare-certified dialysis facility?

Yes. Main Street Dialysis Center, LLC is a Medicare-certified dialysis facility, certified since April 28, 2017.

What quality rating does Main Street Dialysis Center LLC have?

CMS rates Main Street Dialysis Center, LLC 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Main Street Dialysis Center LLC was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.