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LONG ISLAND RENAL CARE INC
NPI 1447492079
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Amityville, NY

Active since March 27, 2009CLIA 33D2064432 · Waiver
3460 GREAT NECK RD, AMITYVILLE, NY 11701(631) 532-6969(631) 532-6968 Get Directions Write a Review

NPPES record last updated: January 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Long Island Renal Care Inc NPPES

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

LONG ISLAND RENAL CARE INC (NPI 1447492079), doing business as Long Island R C Inc, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Amityville, New York and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Andrey Goncharuk, President, as its authorized official.

NPPES Registry Identity

NPI1447492079
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLONG ISLAND RENAL CARE INC
Location Address3460 GREAT NECK RDAmityville, NY 11701-1915
Mailing Address3460 Great Neck RdAmityville, NY 11701-1915 · (631) 532-6969 · Fax (631) 532-6968
Phone(631) 532-6969
Fax(631) 532-6968
Organization SubpartNo
Authorized OfficialAndrey GoncharukPresident · (631) 532-6969
Enumeration DateMarch 27, 2009
Last NPPES UpdateJanuary 27, 2010
✔ NPI 1447492079 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 · 5120201R
3460 GREAT NECK RD, Amityville, NY 11701
Open in Google Maps ↗

Other Names 1

Former Legal Business NameLong Island R C Inc

Other Identifiers 1

Medicare OSCAR/certification332670NY

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 33D2064432

Long Island Renal Care · Amityville, NY
Active · expires Mar 26, 2027
CLIA Number33D2064432
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 20, 2013
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Yelena Rosenberg
Laboratory Phone(631) 532-6969
Laboratory LocationLong Island Renal Care3460 Great Neck Road, Amityville, NY 11701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KNICKERBOCKER DIALYSIS INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3460 GREAT NECK RD
AMITYVILLE, NY 11701
Suffolk County (631) 532-6969

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 Long Island Renal Care Inc's NPI number?

The NPI number for Long Island Renal Care Inc is 1447492079. It was assigned to this organization in the NPPES registry on March 27, 2009. The provider was formerly known as Long Island R C Inc.

Where is Long Island Renal Care Inc located?

Long Island Renal Care Inc is located at 3460 Great Neck Rd, Amityville, NY 11701. The listed phone number is (631) 532-6969.

What is Long Island Renal Care 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 Long Island Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2064432) 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 Long Island Renal Care Inc was last updated on January 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.