NPIMap

Organization Active NPI

Bronx Center for Renal Dialysis LLC

Doing business as Beth Abraham Center For Renal Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
National Provider Identifier
1245013911
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
BRONX CENTER FOR RENAL DIALYSIS LLC
Doing business as
Beth Abraham Center For Renal Dialysis
Practice address
612 Allerton Ave
Bronx, NY 10467-7404
Phone
(718) 931-9700
NPI assigned
Aug 16, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BRONX CENTER FOR RENAL DIALYSIS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Jack Meisels
Title
MBR
Phone
(718) 434-1444

Specialties & licenses 1

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

Addresses

Primary practice location

612 Allerton Ave
Bronx, NY 10467-7404

Mailing address

4770 White Plains Rd
Bronx, NY 10470-1136

Other names 1

  • Beth Abraham Center For Renal Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220002732 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 8921137597 Practice locations: Bronx, NY

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
BCRD Beth Abraham Center For Renal DialysisCCN 332850
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Apr 10, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
23

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Bronx Center for Renal Dialysis LLC5 organizations share this tax ID, including this one
Part of
Bronx Center for Renal Dialysis LLC

Other organizations with this tax ID 4

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

Locations

722 Myrtle Ave
Brooklyn, NY 11205
Phone (718) 636-4211

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1245013911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677404",
            "telephone_number": "718-931-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX CENTER FOR RENAL DIALYSIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRONX CENTER FOR RENAL DIALYSIS LLC",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "MEISELS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "718-434-1444"
    },
    "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": "Beth Abraham Center For Renal Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.