New York Dialysis Services, Inc.

Primary specialty

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

Legal business name

NEW YORK DIALYSIS SERVICES, INC.

Practice address

2615 Frederick Douglas Blvd
#2621
New York, NY 10030-1705

Phone

(212) 281-8200

Fax

(212) 690-7265

NPI assigned

Sep 14, 2006

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Mark Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• FMS-Harlem Dialysis Center Doing business as

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1144325945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 FREDERICK DOUGLASS BLVD",
            "address_2": "#2621",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301705",
            "telephone_number": "212-281-8200",
            "fax_number": "212-690-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 FREDERICK DOUGLAS BLVD",
            "address_2": "#2621",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301705",
            "telephone_number": "212-281-8200",
            "fax_number": "212-690-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK DIALYSIS SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "FMS-Harlem Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• New York Dialysis Services, Inc.
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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York, NY
• Providers in New York, 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 Apr 15, 2015; 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.