Organization Active NPI

FSNR Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1255846606
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
FSNR DIALYSIS LLC
Practice address
1170 E 98TH St
Brooklyn, NY 11236-4006
Phone
(718) 927-6346
NPI assigned
Dec 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Nathan Zelcer
Title
Controller
Phone
(718) 927-6346

Specialties & licenses 1

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

Addresses

Primary practice location

1170 E 98TH St
Brooklyn, NY 11236-4006

Mailing address

1535 Rockaway Pkwy
Brooklyn, NY 11236-4001

Other names 1

  • Gateway 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
O20180212000854 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 8022378140 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1255846606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E 98TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364006",
            "telephone_number": "718-927-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSNR DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "ZELCER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "718-927-6346"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.