NOVO DIALYSIS JAMAICA, LLC
NPI 1790491454
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Queens Village, NY

Active since January 26, 2023CLIA 33D2277114 · Waiver
21470 JAMAICA AVE, QUEENS VILLAGE, NY 11428(516) 859-3904 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Novo Dialysis Jamaica, Llc NPPES

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

NOVO DIALYSIS JAMAICA, LLC (NPI 1790491454) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Queens Village, New York and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists William D Cundiff, Coo, as its authorized official.

NPPES Registry Identity

NPI1790491454
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNOVO DIALYSIS JAMAICA, LLC
Location Address21470 JAMAICA AVEQueens Village, NY 11428-1727
Mailing Address2329 Nostrand Ave # Suie100Brooklyn, NY 11210-3936
Organization SubpartNo
Authorized OfficialWilliam D CundiffCoo · (516) 859-3904
Enumeration DateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1790491454 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
21470 JAMAICA AVE, Queens Village, NY 11428

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 33D2277114

Novo Dialysis Jamaica LLC · Queens Village, NY
Active · expires Mar 26, 2027
CLIA Number33D2277114
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 22, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Narayan D. Agrawal
Laboratory Phone(929) 490-0588
Laboratory LocationNovo Dialysis Jamaica LLC214-70 Jamaica Ave, Queens Village, NY 11428
CLIA data matches this NPI record on: Name
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 Novo Dialysis Jamaica, LLC (CMS certification number 332849), from CMS Care Compare.

Novo Dialysis Jamaica, LLC

Dialysis facility · Queens Village, NY
OwnershipProfit
CMS Certification Number332849
ESRD NetworkNetwork 2
Hemodialysis Stations32
Medicare-Certified SinceNovember 18, 2023
Location214-70 Jamaica AvenueQueens Village, NY 11428 · Queens County
Services Offered
In-center hemodialysis

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 Novo Dialysis Jamaica, LLC's NPI number?

The NPI number for Novo Dialysis Jamaica, LLC is 1790491454. It was assigned to this organization in the NPPES registry on January 26, 2023.

Where is Novo Dialysis Jamaica, LLC located?

Novo Dialysis Jamaica, LLC is located at 21470 Jamaica Ave, Queens Village, NY 11428. The listed phone number is (516) 859-3904.

What is Novo Dialysis Jamaica, 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.

Does Novo Dialysis Jamaica, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2277114) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Novo Dialysis Jamaica, LLC a Medicare-certified dialysis facility?

Yes. Novo Dialysis Jamaica, LLC is a Medicare-certified dialysis facility, certified since November 18, 2023.

When was this NPI record last updated?

The NPPES record for Novo Dialysis Jamaica, LLC was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.