Active NPI
Dsi Newburgh, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Newburgh, NY
National Provider Identifier
1104467984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DSI NEWBURGH, LLC
- Practice address
- 39 N Plank Rd Ste 5
Newburgh, NY 12550-2124 - Phone
- (845) 476-3788
- Fax
- (845) 476-3787
- NPI assigned
- Oct 3, 2019
- Organization subpart
- Yes
- Parent organization
- U.S. RENAL CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L. Weinberg
- Title
- Chairman
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
39 N Plank Rd Ste 5
Newburgh, NY 12550-2124
Mailing address
PO Box 639743
Cincinnati, OH 45263-9743
Phone (845) 476-3788
Other names 1
- DSI Newburgh Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191118002223 | NY | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8527490275 | Practice locations: Newburgh, NY |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- USRC Newburgh Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Jun 9, 2017
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 16
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2121493 | Dsi Newburgh Dialysis | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Poughkeepsie, NY
- NPI 1275970980
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Viera, FL
- NPI 1982970554
Member Of
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570060800000",
"number": "1104467984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639743",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639743",
"telephone_number": "845-476-3788",
"fax_number": "845-476-3787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 N PLANK RD STE 5",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125502124",
"telephone_number": "845-476-3788",
"fax_number": "845-476-3787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DSI NEWBURGH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "214-736-2700"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DSI Newburgh Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.