NPIMap

Organization Active NPI

Midwood Chayim Aruchim Dialysis Associates Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1396780052
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
MIDWOOD CHAYIM ARUCHIM DIALYSIS ASSOCIATES INC
Practice address
1408 Ocean Ave
Brooklyn, NY 11230-3803
Phone
(718) 677-7600
Fax
(718) 677-3265
NPI assigned
Jun 18, 2006
Organization subpart
Yes
Parent organization
MIDWOOD CHAYIM ARUCHIM DIALYSIS ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Ms. Marlen Van Cleave
Title
Office Manager
Phone
(718) 879-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1408 Ocean Ave
Brooklyn, NY 11230-3803

Mailing address

1408 Ocean Ave
Brooklyn, NY 11230-3803
Phone (718) 677-7600

Other identifiers 1

IdentifierTypeStateIssuer
02002642MedicaidNM

Other names 1

  • Millenium Dialysis Other name

National Provider Directory

National Provider Directory
Tax ID family
Knickerbocker Dialysis Inc65 organizations share this tax ID, including this one
Part of
Midwood Chayim Aruchim Dialysis Associates Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1408 Ocean Ave
#2
Brooklyn, NY 11230
Phone (718) 677-7600

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1396780052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303803",
            "telephone_number": "718-677-7600",
            "fax_number": "718-677-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303803",
            "telephone_number": "718-677-7600",
            "fax_number": "718-677-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWOOD CHAYIM ARUCHIM DIALYSIS ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWOOD CHAYIM ARUCHIM DIALYSIS ASSOCIATES INC",
        "enumeration_date": "2006-06-18",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "VAN CLEAVE",
        "authorized_official_first_name": "MARLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-879-8800",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02002642",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millenium Dialysis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 23, 2013; 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.