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KNICKERBOCKER DIALYSIS INC
NPI 1942839378
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Patchogue, NY

Active since April 07, 2020
4/5
Overall Rating
479 E MAIN ST, PATCHOGUE, NY 11772(631) 447-2401(631) 447-2406 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2022, Apr 7, 2020 (2 updates tracked since 2020).

About Knickerbocker Dialysis Inc NPPES

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

KNICKERBOCKER DIALYSIS INC (NPI 1942839378), doing business as East Patchogue Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Patchogue, New York and active in the NPI registry since April 2020. The organization lists Samuel Wey, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1942839378
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKNICKERBOCKER DIALYSIS INC
Location Address479 E MAIN STPatchogue, NY 11772-3147
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(631) 447-2401
Fax(631) 447-2406
Organization SubpartNo
Authorized OfficialSamuel WeyAssistant Secretary · (615) 341-6641
Enumeration DateApril 7, 2020
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1942839378 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
479 E MAIN ST, Patchogue, NY 11772
Open in Google Maps ↗

Other Names 1

Doing Business AsEast Patchogue Dialysis

Other Identifiers 1

Medicaid06575855NY

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 ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita East Patchogue Dialysis (CMS certification number 332817), from CMS Care Compare.

DaVita East Patchogue Dialysis

Dialysis facility · Patchogue, NY
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number332817
ESRD NetworkNetwork 2
Hemodialysis Stations13
Medicare-Certified SinceNovember 23, 2020
Location479 E. Main StreetPatchogue, NY 11772 · Suffolk County
Phone(631) 447-2401
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 1942839378. It was assigned to this organization in the NPPES registry on April 7, 2020. The provider is doing business as East Patchogue Dialysis.

Where is Knickerbocker Dialysis Inc located?

Knickerbocker Dialysis Inc is located at 479 E Main St, Patchogue, NY 11772. The listed phone number is (631) 447-2401.

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 East Patchogue Dialysis is a Medicare-certified dialysis facility, certified since November 23, 2020.

What quality rating does Knickerbocker Dialysis Inc have?

CMS rates DaVita East Patchogue Dialysis 4 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 April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.