Brooklyn Gardens Dialysis Center LLC

Primary specialty

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

Legal business name

BROOKLYN GARDENS DIALYSIS CENTER LLC

Practice address

835 Herkimer St
Brooklyn, NY 11233-3031

Phone

(718) 123-4567

NPI assigned

Apr 21, 2020

Last updated

Apr 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Melnicke

Title

Manager / Member

Phone

(718) 344-7087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Brooklyn Garden DialysisCCN 332820

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Dec 3, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

15

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Zachary Zinovy Brener, M.D,

  • Specialist
  • Brooklyn, NY
  • NPI 1265479539

  Dialysis facility

  Care Compare affiliation Name & address match
• Arye Kremer, M.D.

  • Nephrology Physician
  • New York, NY
  • NPI 1417273772

  Dialysis facility

  Care Compare affiliation Name & address match
• Priyanka Singh, M.D

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1679738629

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1235759036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 HERKIMER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HERKIMER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333031",
            "telephone_number": "718-123-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN GARDENS DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "MELNICKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER / MEMBER",
        "authorized_official_telephone_number": "718-344-7087"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brooklyn Gastroenterology and Endoscopy PLLC
• Brooklyn Gastroenterology and Hepatology PLLC
• Brooklyn Gastroenterology PC
• Brooklyn Health Center
• Brooklyn Health Center Pharmacy

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, 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 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.