HALF MOON DIALYSIS
NPI 1629617576
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Pomona, NY

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

The NPI number for Knickerbocker Dialysis Inc is 1629617576. It was assigned to this organization in the NPPES registry on December 24, 2019. The provider is doing business as Half Moon 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 December 24, 2019

1633 ROUTE 202 STE 120, POMONA, NY 10970(845) 364-9101(845) 364-9106 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2023, Dec 24, 2019 (2 updates tracked since 2019).

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About Half Moon Dialysis NPPES

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

HALF MOON DIALYSIS (NPI 1629617576) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Pomona, New York and active in the NPI registry since December 2019. The organization lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1629617576

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameKNICKERBOCKER DIALYSIS INC

Location Address1633 ROUTE 202 STE 120Pomona, NY 10970-2926

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

Phone(845) 364-9101

Fax(845) 364-9106

Organization SubpartNo

Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6410

Enumeration DateDecember 24, 2019

Last NPPES UpdateNovember 10, 20232 updates tracked since enumeration

NPPES CertifiedNovember 10, 2023

✔ NPI 1629617576 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

1633 ROUTE 202 STE 120, Pomona, NY 10970

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Other Names 1

Doing Business AsHalf Moon 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 1629617576. It was assigned to this organization in the NPPES registry on December 24, 2019. The provider is doing business as Half Moon Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 1633 Route 202 Ste 120, Pomona, NY 10970. The listed phone number is (845) 364-9101.

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 November 10, 2023. 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.