NPIMap

Organization Active NPI

The Rogosin Institute Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Woodside, NY
National Provider Identifier
1194792028
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
7002122R Issued in NY
Legal business name
THE ROGOSIN INSTITUTE INC.
Practice address
6620 Queens Blvd
Woodside, NY 11377-5119
Phone
(718) 457-3000
Fax
(212) 327-1906
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Ms. Allyson Pifko
Title
Compliance Officer
Phone
(646) 317-0698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 7002122R NY Primary

Addresses

Primary practice location

6620 Queens Blvd
Woodside, NY 11377-5119

Mailing address

6620 Queens Blvd
Woodside, NY 11377-5119
Phone (718) 457-3000

Other identifiers 1

IdentifierTypeStateIssuer
7002122ROtherNYOPERATING CERTIFICATE NUM

Other names 1

  • Rogosin Kidney Center - Queens Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101201000255 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 2163312745 Practice locations: Woodside, NY

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Rogosin Queens Dialysis14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1194792028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775119",
            "telephone_number": "718-457-3000",
            "fax_number": "212-327-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775119",
            "telephone_number": "718-457-3000",
            "fax_number": "212-327-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROGOSIN INSTITUTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "PIFKO",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "646-317-0698",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "7002122R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE NUM",
            "identifier": "7002122R",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogosin Kidney Center - Queens",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rogosin Kidney Center - Queens",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.