Active NPI
Four Seasons Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
National Provider Identifier
1386790079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 7001117R
- Legal business name
- FOUR SEASONS DIALYSIS CENTER
- Practice address
- 1170 E 98TH St
Brooklyn, NY 11236-4006 - Phone
- (718) 223-2100
- NPI assigned
- Jan 26, 2007
- 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. Barry Friedman
- Title
- Ceo
- Phone
- (718) 223-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 7001117R | NY | Primary |
Addresses
Primary practice location
1170 E 98TH St
Brooklyn, NY 11236-4006
Mailing address
1170 E 98TH St
Brooklyn, NY 11236-4006
Phone (718) 223-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02620840 | Medicaid | NY |
Other names 1
- Gateway Dialysis Center
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Four Seasons Dialysis Center LLC.
- Overall star rating
- Ownership
- Profit
- Certified
- Sep 8, 2004
- Medicare certification status
- Active
- Dialysis stations
- 25
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryLocations
1170 E 98th St
Brooklyn, NY 11236
Phone (718) 223-2100
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1386790079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 E 98TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364006",
"telephone_number": "718-223-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 E 98TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364006",
"telephone_number": "718-223-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR SEASONS DIALYSIS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-223-2100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NY",
"license": "7001117R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02620840",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gateway Dialysis Center",
"code": "3",
"type": "Doing Business As"
}
]
}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 Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.