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IVY DIALYSIS
NPI 1386028843
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Elmira, NY

Active since July 15, 2015CLIA 33D2112825 · Waiver
3/5
Overall Rating
602 IVY ST, ELMIRA, NY 14905(607) 737-4186(607) 737-4446 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2024, Jul 26, 2024, Oct 8, 2020 and 2 more (5 updates tracked since 2019).

About Ivy Dialysis NPPES

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

IVY DIALYSIS (NPI 1386028843) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Elmira, New York and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Samuel Wey, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1386028843
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address602 IVY STElmira, NY 14905-1646
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569
Phone(607) 737-4186
Fax(607) 737-4446
Organization SubpartNo
Authorized OfficialSamuel WeyAssistant Secretary · (615) 341-6641
Enumeration DateJuly 15, 2015
Last NPPES UpdateAugust 8, 20245 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1386028843 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
602 IVY ST, Elmira, NY 14905
Open in Google Maps ↗

Other Names 1

Doing Business AsIvy Dialysis

Other Identifiers 1

Medicaid04458935NY

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 ›

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 33D2112825

Ivy Dialysis · Elmira, NY
Active · expires Mar 26, 2027
CLIA Number33D2112825
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 10, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Mohamed O. Atwaibi
Laboratory Phone(607) 737-4186
Laboratory LocationIvy Dialysis602 Ivy Street, Elmira, NY 14905
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 DaVita Ivy Dialysis (CMS certification number 332735), from CMS Care Compare.

DaVita Ivy Dialysis

Dialysis facility · Elmira, NY
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number332735
ESRD NetworkNetwork 2
Hemodialysis Stations20
Medicare-Certified SinceJuly 1, 2015
Location602 IVY STREETElmira, NY 14905 · Chemung County
Phone(607) 737-4186
Services Offered
In-center hemodialysis Peritoneal dialysis Evening shifts (after 5 PM)

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
83% 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.
70% 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.
87% 5/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
66% 4/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
80% 5/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
76% 4/5
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.

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.

KATHLEEN MARIE KEEFE FNP-C
Nurse Practitioner (Family)
602 IVY ST, 2ND FLOOR
ELMIRA, NY 14905
Chemung County (607) 737-4130
MAXWELL C GILMORE
Physical Therapy Assistant
602 IVY ST
ELMIRA, NY 14905
Chemung County (607) 737-7804
MS. SARAH MARIE MUCENSKI MS, CCC-SLP
Speech-Language Pathologist
602 IVY ST, REHABILITATION SERVICES
ELMIRA, NY 14905
Chemung County (607) 737-4131
BENJAMIN KING DO
Emergency Medicine
602 IVY ST
ELMIRA, NY 14905
Chemung County (607) 737-8157
SHELLY ANNE ROZELL OTRL
Occupational Therapist
602 IVY ST
ELMIRA, NY 14905
Chemung County (607) 737-4131
SHARON FERGUSON NP
Nurse Practitioner
602 IVY ST
ELMIRA, NY 14905
Chemung County (607) 737-4577
ANIKA CHOUDHURY DPT
Physical Therapist
602 IVY ST
ELMIRA, NY 14905
Chemung County (607) 737-7804
HEATHER D HEROUX MSPT
Physical Therapist
602 IVY ST
ELMIRA, NY 14905
Chemung County (607) 737-4131

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 1386028843. It was assigned to this organization in the NPPES registry on July 15, 2015. The provider is doing business as Ivy Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 602 Ivy St, Elmira, NY 14905. The listed phone number is (607) 737-4186.

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.

Does Knickerbocker Dialysis Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2112825) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Knickerbocker Dialysis Inc a Medicare-certified dialysis facility?

Yes. DaVita Ivy Dialysis is a Medicare-certified dialysis facility, certified since July 1, 2015.

What quality rating does Knickerbocker Dialysis Inc have?

CMS rates DaVita Ivy Dialysis 3 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 and UnitedHealthcare 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 August 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.