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ISLAND REHABILITATIVE SERVICES/B'KLYN
NPI 1790779114
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Brooklyn, NY

Active since August 31, 2005
5918-5924 13TH AVE, ISLAND REHABILITATIVE SERVICES/B'KLYN, BROOKLYN, NY 11219(718) 437-1594(718) 437-5092 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Island Rehabilitative Services/b'klyn NPPES

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

ISLAND REHABILITATIVE SERVICES/B'KLYN (NPI 1790779114) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Brooklyn, New York and active in the NPI registry since August 2005. The organization lists Dominic Licciardi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1790779114
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameISLAND REHABILITATIVE SERVICES/B'KLYN
Location Address5918-5924 13TH AVE, ISLAND REHABILITATIVE SERVICES/B'KLYNBrooklyn, NY 11219
Mailing Address2031-10 Forest Ave, Island Rehabilitative ServicesStaten Island, NY 10303-1796 · (718) 448-5641 · Fax (718) 448-6117
Phone(718) 437-1594
Fax(718) 437-5092
Organization SubpartNo
Authorized OfficialDominic LicciardiAdministrator · (718) 437-1594
Enumeration DateAugust 31, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1790779114 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
5918-5924 13TH AVE, Brooklyn, NY 11219
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Other Identifiers 1

Medicaid00519755NY

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 Island Rehabilitative Services/B'klyn's NPI number?

The NPI number for Island Rehabilitative Services/B'klyn is 1790779114. It was assigned to this organization in the NPPES registry on August 31, 2005.

Where is Island Rehabilitative Services/B'klyn located?

Island Rehabilitative Services/B'klyn is located at 5918-5924 13th Ave Island Rehabilitative Services/B'klyn, Brooklyn, NY 11219. The listed phone number is (718) 437-1594.

What is Island Rehabilitative Services/B'klyn's specialty?

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

When was this NPI record last updated?

The NPPES record for Island Rehabilitative Services/B'klyn was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.