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DBA COLUMBIA-GREENE DIALYSIS CENTERS
NPI 1467445601
Clinic/Center in Ghent, NY

Active since August 23, 2005CLIA 33D0912190 · Waiver
30 WHITTIER WAY, GHENT, NY 12075(518) 828-0717(517) 822-0776 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dba Columbia-greene Dialysis Centers NPPES

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

DBA COLUMBIA-GREENE DIALYSIS CENTERS (NPI 1467445601) is a healthcare organization registered as a clinic/center in Ghent, New York and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Vinny Anand, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467445601
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGREEN MANOR DIALYSIS CENTER LLC
Location Address30 WHITTIER WAYGhent, NY 12075
Mailing Address30 Whittier WayGhent, NY 12075 · (518) 828-0717 · Fax (517) 822-0776
Phone(518) 828-0717
Fax(517) 822-0776
Organization SubpartNo
Authorized OfficialVinny AnandCeo · (518) 828-0717
Enumeration DateAugust 23, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467445601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 1059202R
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
30 WHITTIER WAY, Ghent, NY 12075
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Other Names 1

Doing Business AsDba Columbia-greene Dialysis Centers

Other Identifiers 1

Medicaid01687094NY

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 33D0912190

Green Manor Dialysis Center · Ghent, NY
Active · expires Mar 26, 2027
CLIA Number33D0912190
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 21, 2015
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Vinod K. Gupta
Laboratory Phone(518) 828-0717
Laboratory LocationGreen Manor Dialysis Center2 Sherwin Potts Drive, Ghent, NY 12075
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

GALR OPERATING, LLC
Assisted Living Facility
30 WHITTIER WAY
GHENT, NY 12075
Columbia County (518) 828-0900
WHITTIER HEALTH SERVICES INC
Assisted Living Facility
30 WHITTIER WAY
GHENT, NY 12075
Columbia County (518) 828-0900

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 Green Manor Dialysis Center LLC's NPI number?

The NPI number for Green Manor Dialysis Center LLC is 1467445601. It was assigned to this organization in the NPPES registry on August 23, 2005. The provider is doing business as Dba Columbia-Greene Dialysis Centers.

Where is Green Manor Dialysis Center LLC located?

Green Manor Dialysis Center LLC is located at 30 Whittier Way, Ghent, NY 12075. The listed phone number is (518) 828-0717.

What is Green Manor Dialysis Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Green Manor Dialysis Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0912190) 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 Green Manor Dialysis Center LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.