Empire State DC Inc

Primary specialty

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

Legal business name

EMPIRE STATE DC INC

Practice address

60 Haven Ave
Ste B3
New York, NY 10032-2605

Phone

(212) 928-9071

Fax

(212) 927-2645

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Samuel Wey

Title

Assistant Secretary

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Haven Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Empire State DC Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
  • NPI 1366478919

  5991616922

  Same PAC ID
• Empire State DC Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ithaca, NY
  • NPI 1851327902

  5991616922

  Same PAC ID

Listed as

DaVita Haven DialysisCCN 332621

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Nov 7, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

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

CLIA laboratory certificates

Tax ID family

Empire State DC Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Empire State DC Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
  • NPI 1366478919
  NPD tax ID

Affiliated clinicians 3

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

• Shayan Shirazian, M.D.

  • Nephrology Physician
  • New York, NY
  • NPI 1225220098

  Dialysis facility

  Care Compare affiliation Name & address match
• Vesh Srivatana, M.D.

  • Nephrology Physician
  • New York, NY
  • NPI 1821231176

  Dialysis facility

  Care Compare affiliation Name & address match
• Benjamin Wooden, MD

  • Nephrology Physician
  • New York, NY
  • NPI 1467985192

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1265477889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HAVEN AVE",
            "address_2": "STE B3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322605",
            "telephone_number": "212-928-9071",
            "fax_number": "212-927-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE STATE DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03057536",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Empire Podiatry Surgery PC
• Empire Prosthetic & Orthotic Designs LLC
• Empire Prosthetics and Orthotics LLC
• Empire Sleep Medicine, PLLC
• Empire State Acupuncture P.C.
• Empire State Hearing Aid Bureau, Inc.
• Empire State Home Care Services, Inc
• Empire State Psychiatric Medicine PLLC
• Empire Therapy LCSW PLLC
• Marissa G Emple

• All providers in New York, NY
• 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 Aug 13, 2026; 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.