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GRAND BOULEVARD DIALYSIS
NPI 1740005388
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Deer Park, NY

Active since November 19, 2024
860 GRAND BLVD, DEER PARK, NY 11729(631) 243-7770(631) 243-7775 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Grand Boulevard Dialysis NPPES

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

GRAND BOULEVARD DIALYSIS (NPI 1740005388) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Deer Park, New York and active in the NPI registry since November 2024. The organization lists Samuel Wey, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1740005388
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTRUE NORTH III DC LLC
Location Address860 GRAND BLVDDeer Park, NY 11729-5706
Mailing Address5200 Virginia Way, L And C DeptBrentwood, TN 37027-7569
Phone(631) 243-7770
Fax(631) 243-7775
Organization SubpartNo
Authorized OfficialSamuel WeyAssistant Secretary · (615) 320-4414
Enumeration DateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
✔ NPI 1740005388 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
860 GRAND BLVD, Deer Park, NY 11729
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Other Names 1

Doing Business AsGrand Boulevard Dialysis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Other Providers at the Same Location NPPES

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

KNICKERBOCKER DIALYSIS INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
860 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 243-7770

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 True North III Dc LLC's NPI number?

The NPI number for True North III Dc LLC is 1740005388. It was assigned to this organization in the NPPES registry on November 19, 2024. The provider is doing business as Grand Boulevard Dialysis.

Where is True North III Dc LLC located?

True North III Dc LLC is located at 860 Grand Blvd, Deer Park, NY 11729. The listed phone number is (631) 243-7770.

What is True North III Dc LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

What insurance does True North III Dc LLC accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list True North III Dc LLC 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 True North III Dc LLC was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.