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EAST NEW YORK DIALYSIS
NPI 1487133633
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Brooklyn, NY

Active since August 08, 2018CLIA 33D2177413 · Waiver
54 NEW LOTS AVE, BROOKLYN, NY 11212(718) 345-7310(718) 345-7317 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2024, Jan 25, 2022, Aug 8, 2018 (3 updates tracked since 2018).

About East New York Dialysis NPPES

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

EAST NEW YORK DIALYSIS (NPI 1487133633) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Brooklyn, New York and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1487133633
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address54 NEW LOTS AVEBrooklyn, NY 11212-6934
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(718) 345-7310
Fax(718) 345-7317
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateAugust 8, 2018
Last NPPES UpdateMay 1, 20243 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1487133633 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
54 NEW LOTS AVE, Brooklyn, NY 11212
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Other Names 1

Doing Business AsEast New York Dialysis

Other Identifiers 1

Medicaid06576094NY

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 33D2177413

East New York Dialysis · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2177413
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 10, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Peter B. Schrier
Laboratory Phone(718) 345-7310
Laboratory LocationEast New York Dialysis54 New Lots Ave, Brooklyn, NY 11212
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1487133633. It was assigned to this organization in the NPPES registry on August 8, 2018. The provider is doing business as East New York Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 54 New Lots Ave, Brooklyn, NY 11212. The listed phone number is (718) 345-7310.

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 33D2177413) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Knickerbocker Dialysis Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers 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 May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.