Ozone Park Dialysis

LBN: Knickerbocker Dialysis Inc
Ozone Park Dialysis is an health care organization with primary practice located at 100-02 Rockaway Blvd , Ozone Park NY 11417-2217. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Knickerbocker Dialysis Inc can be contacted via phone (718) 843-0694, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
100-02 Rockaway Blvd Ozone Park NY 11417-2217
Phone: (718) 843-0694
Fax: (718) 323-2438
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1396285045
LBN Legal business name Knickerbocker Dialysis Inc
DBA Doing business as Ozone Park Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2017
Last updated Mar 27th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396285045 NPPES
New York MEDICAID 05400959

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