Novo Dialysis Flatlands LLC

Primary specialty

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

Legal business name

NOVO DIALYSIS FLATLANDS LLC

Practice address

2306 Nostrand Ave
Brooklyn, NY 11210-3840

Phone

(540) 254-7791

NPI assigned

Feb 3, 2021

Last updated

Dec 23, 2021By 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

Aditya Mattoo, MDNPI 1730336595

Title

Sole Member

Phone

(347) 284-1122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Novo Dialysis Flatlands, LLCCCN 332838

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Feb 11, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

27

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Aditya Mattoo, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1730336595
  NPD (past) Authorized official

Affiliated clinicians 3

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

• K C Janga, MD

  • Student in an Organized Health Care Education/Training Program
  • Brooklyn, NY
  • NPI 1154518199

  Dialysis facility

  Care Compare affiliation Name & address match
• Arye Kremer, M.D.

  • Nephrology Physician
  • New York, NY
  • NPI 1417273772

  Dialysis facility

  Care Compare affiliation Name & address match
• Leon Robert Shein, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1215004858

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1083206833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612238",
            "telephone_number": "540-254-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103840",
            "telephone_number": "540-254-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVO DIALYSIS FLATLANDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "MATTOO",
        "authorized_official_first_name": "ADITYA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "347-284-1122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia V Novikova
• Inga Novikova
• Marina Novikova, MD
• Niloufar Novin
• Michelle Marie Novitsky, LMHC
• Robert M Novo, DDS
• Aaron Dangelo Novoa
• Raisa Novofastovsky
• Haviva Novogroder, MS SP ED
• Juliana Novoseletsky

• 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 Dec 23, 2021; 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.