NPIMap

Organization Active NPI

Comprehensive Dialysis Center of Western New York, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Williamsville, NY
National Provider Identifier
1245235902
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
144330-1 Issued in NY
Legal business name
COMPREHENSIVE DIALYSIS CENTER OF WESTERN NEW YORK, INC.
Practice address
6010 Main St
Williamsville, NY 14221-6837
Phone
(716) 631-4700
Fax
(716) 631-4711
NPI assigned
Jun 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Romesh Kohli, M.D.
Title
Medical Director
Phone
(716) 631-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 121592-1 NY
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 144330-1 NY Primary

Addresses

Primary practice location

6010 Main St
Williamsville, NY 14221-6837

Mailing address

6010 Main St
Williamsville, NY 14221-6837
Phone (716) 631-4700

Other identifiers 4

IdentifierTypeStateIssuer
B4OtherNYIHA PROVIDER NUMBER
01502987MedicaidNY
00011420401OtherNYUNIVERA PROVIDER NUMBER
359OtherNYBSBSWNY PROVIDER NUMBER

Other names 1

  • CDCWNY Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1245235902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216837",
            "telephone_number": "716-631-4700",
            "fax_number": "716-631-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216837",
            "telephone_number": "716-631-4700",
            "fax_number": "716-631-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DIALYSIS CENTER OF WESTERN NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "ROMESH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "716-631-4700",
        "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": "NY",
            "license": "121592-1",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "144330-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA PROVIDER NUMBER",
            "identifier": "B4",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01502987",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA PROVIDER NUMBER",
            "identifier": "00011420401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBSWNY PROVIDER NUMBER",
            "identifier": "359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDCWNY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.