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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: July 19, 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

What is TRUE NORTH III DC LLC's NPI number?

The NPI number assigned to this healthcare provider is 1740005388, enumerated as an "organization" on November 19, 2024.

Where is the provider located?

The provider is located at 860 GRAND BLVD DEER PARK, NY 11729 and the phone number is (631) 243-7770.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

What insurance does TRUE NORTH III DC LLC accept?

The provider might be accepting Accepts: Oscar Health Insurance, Oscar Health Maintenance. Please consult your insurance carrier or call the provider to verify.