Organization Active NPI

Apollo-Hauppauge, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hauppauge, NY
National Provider Identifier
1215097399
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
APOLLO-HAUPPAUGE, LLC
Doing business as
Suffolk Kidney Center
Practice address
30 Central Ave
Hauppauge, NY 11788-4734
Phone
(631) 232-9670
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Mr. Donald Landry, M.D.NPI 1033286273
Title
Owner Managing Member
Phone
(716) 282-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

30 Central Ave
Hauppauge, NY 11788-4734

Mailing address

3510 Hyde Park Blvd
Niagara Falls, NY 14305-2204
Phone (716) 282-2200

Other names 1

  • Suffolk Kidney Center Doing business as

National Provider Directory

National Provider Directory

Locations

3510 Hyde Park Blvd
Niagara Falls, NY 14305
Phone (716) 299-0138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1215097399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 HYDE PARK BLVD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143052204",
            "telephone_number": "716-282-2200",
            "fax_number": "716-282-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CENTRAL AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884734",
            "telephone_number": "631-232-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO-HAUPPAUGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER MANAGING MEMBER",
        "authorized_official_telephone_number": "716-282-2200",
        "authorized_official_name_prefix": "Mr.",
        "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": "Suffolk Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.