Tidal Dialysis LLC

Primary specialty

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

Legal business name

TIDAL DIALYSIS LLC

Practice address

342 Himrod St
Brooklyn, NY 11237-4704

Phone

(929) 401-5030

Fax

(718) 417-1526

NPI assigned

Jul 31, 2025

Last updated

Oct 18, 2026By 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

Dr. Premila Bhat, MDNPI 1083818546

Title

Managing Member

Phone

(718) 899-0060

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Premila Bhat, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1083818546
  NPD (past) Authorized official
• Bhavani Mahankali, MD

  • Specialist
  • Brooklyn, NY
  • NPI 1447208277
  NPD (past)
• Stela Teferici, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1659983559
  NPD (past)

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792281600000",
    "number": "1033093356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851340",
            "telephone_number": "718-899-0060",
            "fax_number": "718-559-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 HIMROD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374704",
            "telephone_number": "929-401-5030",
            "fax_number": "718-417-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDAL DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2026-10-18",
        "certification_date": "2026-10-18",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "PREMILA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-899-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella N Tichkova, M.S.ED
• Rivka L Ticker
• Tickle Toes LLC
• Sharang Tickoo
• Katy Ticona
• Miriam Tiefenbrunn, SLP
• Kenneth Tietjen, M.D.
• Luisonna Tifa
• Tiffany Sylvestre
• Emmalee Tiffany

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, 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 Oct 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.