Organization Active NPI

Dsi Newburgh, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Newburgh, NY
National Provider Identifier
1104467984
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 DialysisCCN 332758
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Jun 9, 2017
Medicare certification status
ActiveFrom the Provider of Services file
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2121493Dsi Newburgh Dialysis39 N Plank Rd - Suite 5, Newburgh, NY 12550Certificate of waiverMar 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.

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.

Verify at the official NPI Registry.