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PECONIC BAY DIALYSIS
NPI 1679148084
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Riverhead, NY

Active since May 26, 2021CLIA 33D2219238 · Waiver
3/5
Overall Rating
700 OLD COUNTRY RD, STE 4, RIVERHEAD, NY 11901(631) 208-0282(631) 208-0129 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peconic Bay Dialysis NPPES

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

PECONIC BAY DIALYSIS (NPI 1679148084) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Riverhead, New York and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1679148084
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address700 OLD COUNTRY RD, STE 4Riverhead, NY 11901-2129
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 341-6410 · Fax (888) 662-8259
Phone(631) 208-0282
Fax(631) 208-0129
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMay 26, 2021
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1679148084 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
700 OLD COUNTRY RD, Riverhead, NY 11901
Open in Google Maps ↗

Other Names 1

Doing Business AsPeconic Bay Dialysis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2219238

Peconic Bay Dialysis · Riverhead, NY
Active · expires Mar 26, 2027
CLIA Number33D2219238
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateApril 2, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorNeeru Kumar
Laboratory Phone(631) 208-0282
Laboratory LocationPeconic Bay Dialysis700 Old Country Rd, Suite 4, Riverhead, NY 11901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Peconic Bay Dialysis (CMS certification number 332833), from CMS Care Compare.

DaVita Peconic Bay Dialysis

Dialysis facility · Riverhead, NY
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number332833
ESRD NetworkNetwork 2
Hemodialysis Stations13
Medicare-Certified SinceJune 29, 2021
Location700 OLD COUNTRY RD, STE 4Riverhead, NY 11901 · Suffolk County
Phone(631) 208-0282
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES

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

EAST END RESPIRATORY THERAPY PC
Respiratory Therapist, Certified
700 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 790-9436

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 1679148084. It was assigned to this organization in the NPPES registry on May 26, 2021. The provider is doing business as Peconic Bay Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 700 Old Country Rd Ste 4, Riverhead, NY 11901. The listed phone number is (631) 208-0282.

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.

Does Knickerbocker Dialysis Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2219238) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Knickerbocker Dialysis Inc a Medicare-certified dialysis facility?

Yes. DaVita Peconic Bay Dialysis is a Medicare-certified dialysis facility, certified since June 29, 2021.

What quality rating does Knickerbocker Dialysis Inc have?

CMS rates DaVita Peconic Bay Dialysis 3 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 UnitedHealthcare 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 December 29, 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.