KNICKERBOCKER DIALYSIS INC
NPI 1518634872
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Laurelton, NY

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

The NPI number for Knickerbocker Dialysis Inc is 1518634872. It was assigned to this organization in the NPPES registry on August 25, 2021. The provider is doing business as Merrick 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.

Active since August 25, 2021

22126 MERRICK BLVD, LAURELTON, NY 11413(929) 822-4076(929) 822-4096 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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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 1518634872), doing business as Merrick Boulevard Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Laurelton, New York and active in the NPI registry since August 2021. The organization lists John Winstel, Vice President, as its authorized official.

NPPES Registry Identity

NPI1518634872

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameKNICKERBOCKER DIALYSIS INC

Location Address22126 MERRICK BLVDLaurelton, NY 11413-2016

Mailing Address5200 Virginia Way, L And C DeptBrentwood, TN 37027-7569 · (615) 320-4414 · Fax (866) 865-2884

Phone(929) 822-4076

Fax(929) 822-4096

Organization SubpartYesParent: Davita Inc

Authorized OfficialJohn WinstelVice President · (253) 733-4501

Enumeration DateAugust 25, 2021

NPPES CertifiedAugust 4, 2021

✔ NPI 1518634872 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

22126 MERRICK BLVD, Laurelton, NY 11413

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Other Names 1

Doing Business AsMerrick Boulevard Dialysis

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 1518634872. It was assigned to this organization in the NPPES registry on August 25, 2021. The provider is doing business as Merrick Boulevard Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 22126 Merrick Blvd, Laurelton, NY 11413. The listed phone number is (929) 822-4076.

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.

When was this NPI record last updated?

The NPPES record for Knickerbocker Dialysis Inc was last updated on August 25, 2021. 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.