Active NPI
Workmens Circle Dialysis Center Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bronx, NY
National Provider Identifier
1376880690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- WORKMENS CIRCLE DIALYSIS CENTER INC
- Practice address
- 3155 Grace Ave
Bronx, NY 10469-3134 - Phone
- (718) 379-8100
- NPI assigned
- Jan 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur Cooperberg
- Title
- Cfo
- Phone
- (516) 422-7882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NY | Primary |
Addresses
Primary practice location
3155 Grace Ave
Bronx, NY 10469-3134
Mailing address
3155 Grace Ave
Bronx, NY 10469-3134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03760249 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463011200000",
"number": "1376880690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 GRACE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104693134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 GRACE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104693134",
"telephone_number": "718-379-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WORKMENS CIRCLE DIALYSIS CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-07",
"last_updated": "2016-05-12",
"status": "A",
"authorized_official_last_name": "COOPERBERG",
"authorized_official_first_name": "ARTHUR",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "516-422-7882"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03760249",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Graham Wilcomb Woolf, MD
- Kelly Blake Woolf, LMSW
- Andrea Woolford, M.A., CCC-SLP, TSSLD
- Henry Thomas Workman Jr., DO
- Workmen'S Circle Home & Infirmary Foundation for the Aged, New York BR
- Workmens Circle Dialysis Management LLC
- Worku Zewdu MD PC
- World Pharmacy Inc
- Jenna Worms, AU.D
- Faith Worrell-Caceres
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.