Workmens Circle Dialysis Management LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

WORKMENS CIRCLE DIALYSIS MANAGEMENT LLC

Practice address

3155 Grace Ave
Bronx, NY 10469-3134

Phone

(718) 304-1255

NPI assigned

Aug 19, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pat Debenedictis

Title

Manager / Member

Phone

(516) 422-7818

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cassena Kidney Care at Workmens Circle Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Cassena Kidney Care at Workmen’s CircleCCN 332695

Overall star rating

1.0 of 5

Ownership

Non-profit

Certified

Jul 10, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

21

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Solovey, PT

  • Physical Therapist
  • Bronx, NY
  • NPI 1972678662
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Alan Seth Friedman, MD

  • Nephrology Physician
  • Bronx, NY
  • NPI 1598867285

  Dialysis facility

  Care Compare affiliation Name & address match
• Suman M Reddy, MD

  • Nephrology Physician
  • Bronx, NY
  • NPI 1447363247

  Dialysis facility

  Care Compare affiliation Name & address match
• Anthony Michael Valeri, M.D.

  • Nephrology Physician
  • New York, NY
  • NPI 1215009469

  Dialysis facility

  Care Compare affiliation Name & address match
• Ramzi Barnaba Vareldzis, MD

  • Nephrology Physician
  • Jackson, MS
  • NPI 1033497698

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1013383520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 GRACE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693134",
            "telephone_number": "718-304-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 GRACE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693134",
            "telephone_number": "718-304-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKMENS CIRCLE DIALYSIS MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "DEBENEDICTIS",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "MANAGER / MEMBER",
        "authorized_official_telephone_number": "516-422-7818"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03760249",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "332695",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cassena Kidney Care at Workmens Circle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Blake Woolf, LMSW
• Andrea Woolford, M.A., CCC-SLP, TSSLD
• Henry Thomas Workman Jr., DO
• Workmen'S Circle Home & Infirmary Foundation for the Aged, New York BR
• Workmens Circle Dialysis Center Inc
• Worku Zewdu MD PC
• World Pharmacy Inc
• Jenna Worms, AU.D
• Faith Worrell-Caceres
• Delilah Worrell, MS.ED.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.