ROCKAWAY KIDNEY CENTER LLC
NPI 1669925533
Clinic/Center - Medical Specialty in Far Rockaway, NY

Q: What is Rockaway Kidney Center LLC's NPI number?

The NPI number for Rockaway Kidney Center LLC is 1669925533. It was assigned to this organization in the NPPES registry on July 27, 2016.

Q: What is Rockaway Kidney Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since July 27, 2016

529 BEACH 20TH ST, FAR ROCKAWAY, NY 11691(516) 770-5712(718) 228-8036 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Rockaway Kidney Center Llc NPPES

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

ROCKAWAY KIDNEY CENTER LLC (NPI 1669925533) is a healthcare organization registered as a medical specialty in Far Rockaway, New York and active in the NPI registry since July 2016. The organization lists Olusegun Ogunfowora, Md, as its authorized official.

NPPES Registry Identity

NPI1669925533

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameROCKAWAY KIDNEY CENTER LLC

Location Address529 BEACH 20TH STFar Rockaway, NY 11691-3645

Mailing Address529 Beach 20th StFar Rockaway, NY 11691-3645 · (516) 770-5712 · Fax (718) 228-8036

Phone(516) 770-5712

Fax(718) 228-8036

Organization SubpartNo

Authorized OfficialOlusegun OgunfoworaMd · (516) 770-5712

Enumeration DateJuly 27, 2016

✔ NPI 1669925533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

529 BEACH 20TH ST, Far Rockaway, NY 11691

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STELLA POLVANOVA N.P.

Nurse Practitioner (Adult Health)

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

DR. ALBERT BARAVARIAN M.D.

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

DR. YOLANDE FRANCES BERNARD M.D.

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

DR. OLUTAYO OLAIDE OLASUPO MD

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

CHRISTOPHER EMOVON

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

ROCKAWAY HD LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

529 BEACH 20TH ST, 1ST FLOOR
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

OLUSEGUN OGUNFOWORA MD

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

POLINA KHANINA MD

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

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 Rockaway Kidney Center LLC's NPI number?

The NPI number for Rockaway Kidney Center LLC is 1669925533. It was assigned to this organization in the NPPES registry on July 27, 2016.

Where is Rockaway Kidney Center LLC located?

Rockaway Kidney Center LLC is located at 529 Beach 20th St, Far Rockaway, NY 11691. The listed phone number is (516) 770-5712.

What is Rockaway Kidney Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Rockaway Kidney Center LLC was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.