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VAN WYCK DIALYSIS
NPI 1942792239
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jamaica, NY

Active since June 01, 2018CLIA 33D2182864 · Waiver
5/5
Overall Rating
91-30 VAN WYCK EXPY, JAMAICA, NY 11418(718) 558-4382(718) 558-5650 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2024, Jun 13, 2024, Apr 5, 2023 and 1 more (4 updates tracked since 2022).

About Van Wyck Dialysis NPPES

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

VAN WYCK DIALYSIS (NPI 1942792239) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jamaica, New York and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Samuel Wey, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1942792239
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address91-30 VAN WYCK EXPYJamaica, NY 11418-2822
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(718) 558-4382
Fax(718) 558-5650
Organization SubpartNo
Authorized OfficialSamuel WeyAssistant Secretary · (615) 341-6641
Enumeration DateJune 1, 2018
Last NPPES UpdateDecember 4, 20244 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1942792239 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
91-30 VAN WYCK EXPY, Jamaica, NY 11418
Open in Google Maps ↗

Other Names 1

Doing Business AsVan Wyck Dialysis

Other Identifiers 1

Medicaid06667761NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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 33D2182864

Van Wyck Dialysis · Jamaica, NY
Active · expires Mar 26, 2027
CLIA Number33D2182864
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 27, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Micic Ljubise
Laboratory Phone(718) 558-4382
Laboratory LocationVan Wyck Dialysis91-30 Van Wyck Expressway, Jamaica, NY 11418
CLIA data matches this NPI record on: Name Phone
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 DaVita Van Wyck Dialysis (CMS certification number 332509), from CMS Care Compare.

DaVita Van Wyck Dialysis

Dialysis facility · Jamaica, NY
5/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number332509
ESRD NetworkNetwork 2
Hemodialysis Stations29
Medicare-Certified SinceJanuary 21, 2021
Location91-30 Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Phone(718) 558-4382
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 Knickerbocker Dialysis Inc's NPI number?

The NPI number for Knickerbocker Dialysis Inc is 1942792239. It was assigned to this organization in the NPPES registry on June 1, 2018. The provider is doing business as Van Wyck Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 91-30 Van Wyck Expy, Jamaica, NY 11418. The listed phone number is (718) 558-4382.

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.

Does Knickerbocker Dialysis Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2182864) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Knickerbocker Dialysis Inc a Medicare-certified dialysis facility?

Yes. DaVita Van Wyck Dialysis is a Medicare-certified dialysis facility, certified since January 21, 2021.

What quality rating does Knickerbocker Dialysis Inc have?

CMS rates DaVita Van Wyck Dialysis 5 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, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers 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 December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.