West Nassau Dialysis Center, Inc

Primary specialty

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

License

2910200R Issued in NY

Legal business name

WEST NASSAU DIALYSIS CENTER, INC

Practice address

75 Rockaway Ave
Valley Stream, NY 11580-5808

Phone

(516) 823-4444

Fax

(516) 823-4445

NPI assigned

Jul 14, 2005

Organization subpart

No

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

Authorized official

Name

J. Ganesh Bhat, MD

Title

President

Phone

(718) 366-1111

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Atlantic DMS - West Nassau Rockaway AveCCN 332610

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 20, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Atlantic Dialysis Management Services

Dialysis stations

24

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Marotta, M.D.

  • Nephrology Physician
  • Mineola, NY
  • NPI 1871591453
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Vincent Steven Avila, M.D.

  • Nephrology Physician
  • Mineola, NY
  • NPI 1518965110

  Dialysis facility

  Care Compare affiliation Name & address match
• Mario Marotta, M.D.

  • Nephrology Physician
  • Mineola, NY
  • NPI 1871591453

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1396744165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 COLLEGE POINT BLVD",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562526",
            "telephone_number": "516-823-4444",
            "fax_number": "516-823-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ROCKAWAY AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805808",
            "telephone_number": "516-823-4444",
            "fax_number": "516-823-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST NASSAU DIALYSIS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "GANESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-366-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "2910200R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02103166",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "022223",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Weinreich
• Robin V Weissman, RD, MSW
• Wellness Adult Health NP PC
• Wen Drew Optical Corp
• West Lincoln Endoscopy PLLC
• Aaron Westreich, M.D.
• John Warren Whalen, BA
• Audra Ursula White, LMSW
• Kendra Simone White, M.A.
• Shivaughn White

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Valley Stream, NY
• Providers in Valley Stream, 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 Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.