NPIMap

Organization Active NPI

Newyork-Presbyterian-Queens

Doing business as 8th Floor Hospital Dialysis Unit

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Flushing, NY
National Provider Identifier
1265478432
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
7003010H PFI 1637 Issued in NY
Legal business name
NEWYORK-PRESBYTERIAN-QUEENS
Doing business as
8th Floor Hospital Dialysis Unit
Practice address
5645 Main St
Eighth Floor Dialysis Unit
Flushing, NY 11355-5045
Phone
(718) 670-1231
Fax
(718) 661-7942
NPI assigned
Jun 22, 2006
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NYP COMMUNITY PROGRAMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Mrs. Phyllis R.F. Lantos
Title
Evp, Cfo and Treasurer
Phone
(212) 746-7905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 7003010H PFI 1637 NY Primary

Addresses

Primary practice location

5645 Main St
Eighth Floor Dialysis Unit
Flushing, NY 11355-5045

Mailing address

5645 Main St
8TH Floor Hospital Dialysis Unit
Flushing, NY 11355-5045
Phone (718) 670-1231

Other identifiers 3

IdentifierTypeStateIssuer
02998983MedicaidNY
00244133MedicaidNY
332311OtherNYMEDICARE PTAN

Other names 1

  • 8th Floor Hospital Dialysis Unit Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000621 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 7315839933 Practice locations: Flushing, NY

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Nyhmc Hollis Women's Ctr50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

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

View all 49

Locations

5645 Main St
Fl Eighth
Flushing, NY 11355

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1265478432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "address_2": "8TH FLOOR HOSPITAL DIALYSIS UNIT",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1231",
            "fax_number": "718-661-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "address_2": "EIGHTH FLOOR DIALYSIS UNIT",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1231",
            "fax_number": "718-661-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWYORK-PRESBYTERIAN-QUEENS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NYP COMMUNITY PROGRAMS, INC.",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "LANTOS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "R.F.",
        "authorized_official_title_or_position": "EVP, CFO AND TREASURER",
        "authorized_official_telephone_number": "212-746-7905",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "7003010H PFI 1637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02998983",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244133",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "332311",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "5645 Main St",
            "address_2": "Eighth Floor Dialysis Unit",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113555045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "5645 Main St",
            "address_2": "Eighth Floor Dialysis Unit",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113555045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "8th Floor Hospital Dialysis Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "8th Floor Hospital Dialysis Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.