NPIMap

Organization Active NPI

Everest Dialysis Services, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
National Provider Identifier
1104949981
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
EVEREST DIALYSIS SERVICES, INC.
Doing business as
Montefiore IV
Practice address
1695 Eastchester Rd
Bronx, NY 10461-2374
Phone
(718) 792-0470
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Paul Balter, M.D.
Title
Ceo and Owner
Phone
(708) 492-4532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1695 Eastchester Rd
Bronx, NY 10461-2374

Mailing address

1695 Eastchester Rd
Bronx, NY 10461-2374
Phone (718) 792-0470

Other names 1

  • Montefiore IV Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Everest Dialysis Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1104949981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612374",
            "telephone_number": "718-792-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612374",
            "telephone_number": "718-792-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST DIALYSIS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "BALTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "708-492-4532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": "Montefiore IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.