KNICKERBOCKER DIALYSIS INC
NPI 1508366386
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mount Vernon, NY

Q: What is Knickerbocker Dialysis Inc's NPI number?

The NPI number for Knickerbocker Dialysis Inc is 1508366386. It was assigned to this organization in the NPPES registry on February 18, 2018. The provider is doing business as Sandford Boulevard Dialysis.

Q: 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.

Q: What quality rating does Knickerbocker Dialysis Inc have?

CMS rates DaVita Sandford Boulevard Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since February 18, 2018

4/5

Overall Rating

120 E SANDFORD BLVD, MOUNT VERNON, NY 10550(914) 665-2035(914) 667-5126 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Mar 9, 2021, Feb 18, 2018 (3 updates tracked since 2018).

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About Knickerbocker Dialysis Inc NPPES

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

KNICKERBOCKER DIALYSIS INC (NPI 1508366386), doing business as Sandford Boulevard Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mount Vernon, New York and active in the NPI registry since February 2018. The organization lists Samuel Wey, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1508366386

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameKNICKERBOCKER DIALYSIS INC

Location Address120 E SANDFORD BLVDMount Vernon, NY 10550-4512

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569

Phone(914) 665-2035

Fax(914) 667-5126

Organization SubpartNo

Authorized OfficialSamuel WeyAssistant Secretary · (615) 341-6641

Enumeration DateFebruary 18, 2018

Last NPPES UpdateMay 29, 20263 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1508366386 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

120 E SANDFORD BLVD, Mount Vernon, NY 10550

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Other Names 1

Doing Business AsSandford Boulevard Dialysis

Other Identifiers 1

Medicaid05707391NY

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 ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Sandford Boulevard Dialysis (CMS certification number 332778), from CMS Care Compare.

DaVita Sandford Boulevard Dialysis

Dialysis facility · Mount Vernon, NY

4/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number332778

ESRD NetworkNetwork 2

Hemodialysis Stations8

Medicare-Certified SinceDecember 7, 2018

Location120 E. Sandford BlvdMount Vernon, NY 10550 · Westchester County

Phone(914) 665-2035

Services Offered

In-center hemodialysis

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 1508366386. It was assigned to this organization in the NPPES registry on February 18, 2018. The provider is doing business as Sandford Boulevard Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 120 E Sandford Blvd, Mount Vernon, NY 10550. The listed phone number is (914) 665-2035.

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.

Is Knickerbocker Dialysis Inc a Medicare-certified dialysis facility?

Yes. DaVita Sandford Boulevard Dialysis is a Medicare-certified dialysis facility, certified since December 7, 2018.

What quality rating does Knickerbocker Dialysis Inc have?

CMS rates DaVita Sandford Boulevard Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

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 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.