Bronx River Nephro-Care Inc.

Primary specialty

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

License

7000249R Issued in NY

Legal business name

BRONX RIVER NEPHRO-CARE INC.

Practice address

100 W Kingsbridge Rd
Bronx, NY 10468-3903

Phone

(718) 579-0280

NPI assigned

Jun 7, 2006

Organization subpart

Yes

Parent organization

BRONX RIVER NEPHRO-CARE INC.As reported in NPPES

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

Authorized official

Name

Mrs. Corene Korba

Title

Billing Manager

Phone

(914) 644-9276

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bronx River Nephro-Care at The Plaza Rehab & Nursing Center Other name

Part of

Bronx River Nephro-Care Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bronx River Nephro-Care Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
  • NPI 1538103494
  NPPES parent name

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1063452563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 BRONXDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623302",
            "telephone_number": "718-430-9800",
            "fax_number": "718-430-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683903",
            "telephone_number": "718-579-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX RIVER NEPHRO-CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRONX RIVER NEPHRO-CARE INC.",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "KORBA",
        "authorized_official_first_name": "CORENE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "914-644-9276",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "7000249R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01812064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronx River Nephro-Care at The Plaza Rehab & Nursing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bronx Regional High School
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• Bronx River Medical Associates,PC
• Bronx River Nephro-Care Inc.
• Bronx SC LLC (Empire State Ambulatory Surgery Center)
• Bronx Specialty Pharmacy Inc
• Bronx State Hospital (Brooklyn Children Center)
• Bronx Urgent Care, P.C.

• 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 Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.