QUEENS - LONG ISLAND RENAL INSTITUTE, INC.
NPI 1477785384
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in New Hyde Park, NY

Q: What is Queens - Long Island Renal Institute, 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.

Active since August 12, 2009CLIA 33D2003885 · Waiver

27111 76TH AVE, NEW HYDE PARK, NY 11040(718) 289-2100(718) 289-2323 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Queens - Long Island Renal Institute, Inc. NPPES

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

QUEENS - LONG ISLAND RENAL INSTITUTE, INC. (NPI 1477785384) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in New Hyde Park, New York and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michael N Rosenblut, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1477785384

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameQUEENS - LONG ISLAND RENAL INSTITUTE, INC.

Location Address27111 76TH AVENew Hyde Park, NY 11040-1436

Mailing Address27111 76th AveNew Hyde Park, NY 11040-1436 · (718) 289-2100 · Fax (718) 289-2323

Phone(718) 289-2100

Fax(718) 289-2323

Organization SubpartNo

Authorized OfficialMichael N RosenblutPresident / Ceo · (718) 289-2100

Enumeration DateAugust 12, 2009

✔ NPI 1477785384 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

27111 76TH AVE, New Hyde Park, NY 11040

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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 33D2003885

Queens-Long Island Renal Institute Inc · New Hyde Park, NY

Active · expires Mar 26, 2027

CLIA Number33D2003885

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateMay 25, 2018

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Sayad S. Ali

Laboratory Phone(718) 289-2833

Laboratory LocationQueens-Long Island Renal Institute Inc271-11 76th Avenue, New Hyde Park, NY 11040

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 20

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

MS. MARIBETH ANNE LAVIN PHARM.D

Pharmacist