Bronx River Nephro Care at Woodmere

Primary specialty

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

Legal business name

BRONX RIVER NEPHRO CARE AT WOODMERE

Practice address

Woodmere Rehabilitiation and Health Care Center
121 Franklin Place
Woodmere, NY 11598

Phone

(516) 791-5277

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Corene Korba

Title

Billing Manager

Phone

(914) 644-9276

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316977689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WOODMERE REHABILITIATION AND HEALTH CARE CENTER",
            "address_2": "121 FRANKLIN PLACE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "516-791-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WOODMERE REHABILITIATION AND HEALTH CARE CENTER",
            "address_2": "121 FRANKLIN PLACE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "516-791-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX RIVER NEPHRO CARE AT WOODMERE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORBA",
        "authorized_official_first_name": "CORENE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "914-644-9276",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "027391",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01812064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jenna Lee Bromberg, LMSW
• Rina Malka Bronstein, LCSW
• Charity Brown
• Sallyan Bruno, B.A.
• Ilana Buchsbayew
• Dylanne Calvin
• Jonathan Cappotelli

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Woodmere, NY
• Providers in Woodmere, 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 Aug 22, 2020; 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.