Brooklyn Home Dialysis Training Center, Inc.

Primary specialty

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

License

332322 Issued in NY

Legal business name

BROOKLYN HOME DIALYSIS TRAINING CENTER, INC.

Practice address

3131 Kings Hwy
Brooklyn, NY 11234-2644

Phone

(917) 576-0013

NPI assigned

Jul 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Paula J Kindos-Carberry, LCSW-R

Title

Unit Administrator

Phone

(917) 576-0013

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457373359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40731",
            "address_2": "STAPLETON STATION",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103040731",
            "telephone_number": "917-576-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342644",
            "telephone_number": "917-576-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN HOME DIALYSIS TRAINING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINDOS-CARBERRY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "UNIT ADMINISTRATOR",
        "authorized_official_telephone_number": "917-576-0013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "332322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Heights Vision Inc. (Heights Vision Center)
• Brooklyn Hem-Onc Medical, PLLC
• Brooklyn Hematology Oncology, P.C.
• Brooklyn Home Care Inc
• Brooklyn Home Dialysis Training Center
• Brooklyn Hospital Center
• Brooklyn Hospital Center
• Brooklyn Hospital Center - Emergency Department
• Brooklyn Hospital Radiology P C
• Brooklyn Infectious Disease Medicine Consultant PC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, 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 Aug 22, 2020; 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.