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EAST ROCHESTER DIALYSIS
NPI 1629450325
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in East Rochester, NY

Active since June 18, 2015
445 W COMMERCIAL ST, EAST ROCHESTER, NY 14445(585) 218-0517(585) 218-4204 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2020, Apr 9, 2019, Sep 28, 2015 (3 updates tracked since 2015).

About East Rochester Dialysis NPPES

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

EAST ROCHESTER DIALYSIS (NPI 1629450325) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in East Rochester, New York and active in the NPI registry since June 2015. The organization lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1629450325
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address445 W COMMERCIAL STEast Rochester, NY 14445-2277
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569 · (615) 341-6410 · Fax (888) 662-8259
Phone(585) 218-0517
Fax(585) 218-4204
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateJune 18, 2015
Last NPPES UpdateMarch 27, 20203 updates tracked since enumeration
NPPES CertifiedMarch 27, 2020
✔ NPI 1629450325 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
445 W COMMERCIAL ST, East Rochester, NY 14445
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Other Names 1

Doing Business AsEast Rochester Dialysis

Other Identifiers 1

Medicaid04408586NY

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 1629450325. It was assigned to this organization in the NPPES registry on June 18, 2015. The provider is doing business as East Rochester Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 445 W Commercial St, East Rochester, NY 14445. The listed phone number is (585) 218-0517.

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 March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.