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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

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: July 19, 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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 33D2003885
Facility Type: End Stage Renal Disease Dialysis Facility
Certificate Effective Date: May 25, 2018
Certificate Expiration Date: March 26, 2027
Laboratory Director: DR. SAYAD S. ALI
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Queens - Long Island Renal Institute, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.