Active NPI
Doral Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
National Provider Identifier
1376915611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DORAL DIALYSIS LLC
- Practice address
- 1881 55TH St
Brooklyn, NY 11204-1907 - Phone
- (917) 364-6218
- NPI assigned
- Oct 27, 2015
- 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
- Mr. David Lipschitz
- Title
- President
- Phone
- (917) 364-6218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1881 55TH St
Brooklyn, NY 11204-1907
Mailing address
1881 55TH St
Brooklyn, NY 11204-1907
Phone (917) 364-6218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210617000586 | NY | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 6901206671 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
1797 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 367-2555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445904000000",
"number": "1376915611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 55TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112041907",
"telephone_number": "917-364-6218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 55TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112041907",
"telephone_number": "917-364-6218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORAL DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-27",
"last_updated": "2015-10-27",
"status": "A",
"authorized_official_last_name": "LIPSCHITZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-364-6218",
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.