KNICKERBOCKER DIALYSIS INC
NPI 1902142607
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tonawanda, NY

Active since December 27, 2012
1/5
Overall Rating
4041 DELAWARE AVE, STE 150, TONAWANDA, NY 14150(716) 871-8103(716) 871-8107 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Dec 19, 2025, Aug 10, 2023 and 2 more (5 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 1902142607), doing business as Northtowns Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tonawanda, New York and active in the NPI registry since December 2012. The organization lists Samuel Wey, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1902142607
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address4041 DELAWARE AVE, STE 150Tonawanda, NY 14150-6828
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(716) 871-8107
Organization SubpartNo
Authorized OfficialSamuel WeyAssistant Secretary · (615) 341-6641
Enumeration DateDecember 27, 2012
Last NPPES UpdateMarch 6, 20265 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1902142607 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
4041 DELAWARE AVE, Tonawanda, NY 14150

Other Names 1

Doing Business AsNorthtowns Dialysis Center

Other Identifiers 1

Medicaid03010079NY

Accepted Insurance

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Northtowns Dialysis Center (CMS certification number 332597), from CMS Care Compare.

DaVita Northtowns Dialysis Center

Dialysis facility · Tonawanda, NY
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number332597
ESRD NetworkNetwork 2
Hemodialysis Stations18
Medicare-Certified SinceJuly 10, 1999
Location4041 DELAWARE AVENUE STE 150Tonawanda, NY 14150 · Erie County
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 5

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

Ophthalmology
4041 DELAWARE AVE, SUITE 100
TONAWANDA, NY 14150
Obstetrics & Gynecology
4041 DELAWARE AVE
TONAWANDA, NY 14150
Obstetrics & Gynecology
4041 DELAWARE AVE, STE 100
TONAWANDA, NY 14150
Obstetrics & Gynecology
4041 DELAWARE AVE
TONAWANDA, NY 14150
Obstetrics & Gynecology
4041 DELAWARE AVE
TONAWANDA, NY 14150

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 1902142607. It was assigned to this organization in the NPPES registry on December 27, 2012. The provider is doing business as Northtowns Dialysis Center.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 4041 Delaware Ave Ste 150, Tonawanda, NY 14150. The listed phone number is (716) 871-8103.

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 Northtowns Dialysis Center is a Medicare-certified dialysis facility, certified since July 10, 1999.

What quality rating does Knickerbocker Dialysis Inc have?

CMS rates DaVita Northtowns Dialysis Center 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Knickerbocker Dialysis Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare 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 March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.