NPIMap

Organization Active NPI

Newtown Dialysis Center, Inc

Doing business as Morrisania Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
National Provider Identifier
1245502764
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NEWTOWN DIALYSIS CENTER, INC
Doing business as
Morrisania Dialysis Center
Practice address
1160 Teller Ave
Bronx, NY 10456-4145
Phone
(718) 483-7440
NPI assigned
Jan 30, 2012
Last updated
Mar 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
J3 Ganesh Bhat, MD
Title
President
Phone
(718) 366-1111

Specialties & licenses 1

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

Addresses

Primary practice location

1160 Teller Ave
Bronx, NY 10456-4145

Mailing address

23-14 College Point Blvd
College Point, NY 11356-2526

Other identifiers 1

IdentifierTypeStateIssuer
03566043MedicaidNY

Other names 1

  • Morrisania Dialysis Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121005000188 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 6002899580 Practice locations: Bronx, NY

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Atlantic DMS - Morrisania Teller AveCCN 332648
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Jun 29, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Atlantic Dialysis Management Services
Dialysis stations
12

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1088993Morrisania Dialysis Center1160 Teller Ave - 1St Floor, Bronx, NY 10456Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Astoria Dialysis Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1245502764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-14 COLLEGE POINT BLVD",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 TELLER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564145",
            "telephone_number": "718-483-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTOWN DIALYSIS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "J3",
        "authorized_official_middle_name": "GANESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-366-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03566043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morrisania Dialysis Center",
            "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 Mar 4, 2015; 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.