Active NPI
South Queens Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jamaica, NY
National Provider Identifier
1205957446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SOUTH QUEENS DIALYSIS CENTER
- Practice address
- 17537 Liberty Ave
Jamaica, NY 11433-1325 - Phone
- (718) 297-9100
- Fax
- (718) 297-0625
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Slifkin, M.D.
- Title
- Owner
- Phone
- (516) 626-8947
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
17537 Liberty Ave
Jamaica, NY 11433-1325
Mailing address
17537 Liberty Ave
Jamaica, NY 11433-1325
Phone (718) 297-9100
Other names 1
- South Queens Dialysis Center
National Provider Directory
National Provider DirectoryLocations
17537 Liberty Ave
Jamaica, NY 11433
Phone (718) 207-9100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253145600000",
"number": "1205957446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17537 LIBERTY AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114331325",
"telephone_number": "718-297-9100",
"fax_number": "718-297-0625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17537 LIBERTY AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114331325",
"telephone_number": "718-297-9100",
"fax_number": "718-297-0625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH QUEENS DIALYSIS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2009-09-17",
"status": "A",
"authorized_official_last_name": "SLIFKIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-626-8947",
"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": "South Queens Dialysis Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jamaica, NY
- Huguette Souffrant
- Sound Medical Neuro Diagnostic PC
- Sounds Good Audiology Services PLLC
- Sounds Good Audiology Services PLLC
- South Merrick NP in Adult Health P.C.
- South Queens Dialysis Center
- South Queens Nephrology Associates
- Sovereign Care Medical Supplies Inc
- Halime Meryem Soylu, MD
- Erika Spadaro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.