Ditmas Park Dialysis Center LLC

Primary specialty

Peritoneal Dialysis Registered NurseTaxonomy code 163WD1100X

Legal business name

DITMAS PARK DIALYSIS CENTER LLC

Practice address

2107 Ditmas Ave
Brooklyn, NY 11226-6903

Phone

(718) 462-8100

NPI assigned

Nov 22, 2018

Last updated

Nov 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shabse Oberlander

Title

Ceo

Phone

(718) 462-8100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Ditmas Park Dialysis CenterCCN 332809

Overall star rating

2.0 of 5

Ownership

Profit

Certified

May 18, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

21

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Affiliated clinicians 6

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

• Zachary Zinovy Brener, M.D,

  • Specialist
  • Brooklyn, NY
  • NPI 1265479539

  Dialysis facility

  Care Compare affiliation Name & address match
• Brinda Desiraju, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1861503070

  Dialysis facility

  Care Compare affiliation Name & address match
• Felicia McKoy, MD

  • Nephrology Physician
  • New York, NY
  • NPI 1568990687

  Dialysis facility

  Care Compare affiliation Name & address match
• Neal Mittman, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1972521656

  Dialysis facility

  Care Compare affiliation Name & address match
• Ibrahim A Mohamed

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1295393544

  Dialysis facility

  Care Compare affiliation Name & address match
• Subodh J. Saggi, MD, MPH

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1952399693

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542844800000",
    "number": "1023587854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266903",
            "telephone_number": "718-462-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266903",
            "telephone_number": "718-462-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 Ditmas Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112266903",
            "country_code": "US",
            "telephone_number": "718-462-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DITMAS PARK DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-22",
        "last_updated": "2018-11-22",
        "status": "A",
        "authorized_official_last_name": "OBERLANDER",
        "authorized_official_first_name": "SHABSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-462-8100"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Ditchek, MD
• Stuart Howard Ditchek, M.D.
• Ditmas Heights Gastroenterology PC
• Ditmas Park Adult Day Care LLC
• Ditmas Park Dental, PC (Flatbush Dental)
• Ditmas Park Pharmacy Inc (Ditmas Park Pharmacy)
• Ditmas Park Rehabilitation & Care Center LLC
• Ditmas Park Rehabilitation & Care Center LLC
• Ditmas Park Wellness PT PLLC
• Ditmas Pharmacy Corp

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2018; 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.