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KNICKERBOCKER DIALYSIS INC
NPI 1699166926
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Brooklyn, NY

Active since February 09, 2015
4102 13TH AVE, BROOKLYN, NY 11219(718) 435-2112(718) 435-0354 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2025, Jul 21, 2020, Jan 23, 2020 and 1 more (4 updates tracked since 2019).

About Knickerbocker Dialysis Inc NPPES

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

KNICKERBOCKER DIALYSIS INC (NPI 1699166926), doing business as Borough Park Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Brooklyn, New York and active in the NPI registry since February 2015. The organization lists Samuel Wey, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1699166926
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address4102 13TH AVEBrooklyn, NY 11219-1389
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569
Phone(718) 435-2112
Fax(718) 435-0354
Organization SubpartNo
Authorized OfficialSamuel WeyAssistant Secretary · (615) 341-6641
Enumeration DateFebruary 9, 2015
Last NPPES UpdateApril 8, 20254 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1699166926 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
4102 13TH AVE, Brooklyn, NY 11219
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Other Names 1

Doing Business AsBorough Park Dialysis

Other Identifiers 1

Medicaid03339457NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Borough Park Dialysis (CMS certification number 332678), from CMS Care Compare.

DaVita Borough Park Dialysis

Dialysis facility · Brooklyn, NY
OwnershipProfit
ChainDaVita
CMS Certification Number332678
ESRD NetworkNetwork 2
Hemodialysis Stations32
Medicare-Certified SinceMarch 2, 2011
Location4102 13TH AVENUEBrooklyn, NY 11219 · Kings County
Phone(718) 435-2112
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 20

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

ESTHER GRUN
Student in an Organized Health Care Education/Training Program
4102 13TH AVE
BROOKLYN, NY 11219
Kings County (718) 400-9988
JUDY LEBOVITS
Social Worker
4102 13TH AVE
BROOKLYN, NY 11219
Kings County (718) 400-9988
IZRAIL ABDURAKHMANOV MD
Psychiatry & Neurology (Psychiatry)
4102 13TH AVE
BROOKLYN, NY 11219
Kings County (718) 400-9988
MRS. SHIRA MICHELSON LMSW
Social Worker
4102 13TH AVE
BROOKLYN, NY 11219
Kings County (718) 400-9988
MRS. CHANA BRACHA BERGER
Student in an Organized Health Care Education/Training Program
4102 13TH AVE
BROOKLYN, NY 11219
Kings County (718) 400-9988
SOLOMON SCHWIMMER
Social Worker
4102 13TH AVE
BROOKLYN, NY 11219
Kings County (718) 400-9988
SARAH LEBOVITS
Social Worker (Clinical)
4102 13TH AVE
BROOKLYN, NY 11219
Kings County (718) 400-9988
MR. YOSEF WEBER MSW
Social Worker
4102 13TH AVE
BROOKLYN, NY 11219
Kings County (718) 400-9988

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 1699166926. It was assigned to this organization in the NPPES registry on February 9, 2015. The provider is doing business as Borough Park Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 4102 13th Ave, Brooklyn, NY 11219. The listed phone number is (718) 435-2112.

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.

Is Knickerbocker Dialysis Inc a Medicare-certified dialysis facility?

Yes. DaVita Borough Park Dialysis is a Medicare-certified dialysis facility, certified since March 2, 2011.

What insurance does Knickerbocker Dialysis Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers 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 April 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.