Flushing Manor Dialysis Center, LLC

Primary specialty

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

Legal business name

FLUSHING MANOR DIALYSIS CENTER, LLC

Practice address

3617 Parsons Blvd
Flushing, NY 11354-5931

Phone

(718) 961-4300

Fax

(718) 939-8429

NPI assigned

May 21, 2007

Last updated

May 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard D Sherman

Title

Administrator

Phone

(718) 961-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Flushing Manor Dialysis Center LLC2 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.

• Queens Dialysis at the Pavilion, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Flushing, NY
  • NPI 1275931644
  NPD tax ID

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1285843904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545931",
            "telephone_number": "718-961-4300",
            "fax_number": "718-939-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545931",
            "telephone_number": "718-961-4300",
            "fax_number": "718-939-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUSHING MANOR DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-961-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "#02991431",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flushing Hospital Medical Center
• Flushing Hospital Medical Center
• Flushing Jewish Community Council, Inc. (Queens Long Island Community Services)
• Flushing Mall Optical, Inc.
• Flushing Manor Care Center, Inc.
• Flushing Manor Geriatric Center Inc
• Flushing Manor Nursing and Rehab
• Flushing Medical
• Flushing Medical Services PLLC
• Flushing Neurology Services, P.C.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• 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 May 31, 2016; 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.