South Queens Dialysis Center

Primary specialty

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

Legal business name

SOUTH QUEENS DIALYSIS CENTER

Practice address

17270 Baisley Blvd
Jamaica, NY 11434-2615

Phone

(718) 949-1600

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Slifkin, M.D.

Title

Owner

Phone

(516) 626-8947

Specialties & licenses 1

Addresses

Other names 1

• St. Albans Dialysis Center Doing business as

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1508988213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17270 BAISLEY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342615",
            "telephone_number": "718-949-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17270 BAISLEY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342615",
            "telephone_number": "718-949-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH QUEENS DIALYSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "SLIFKIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-626-8947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Albans Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sound Medical Neuro Diagnostic PC
• Sounds Good Audiology Services PLLC
• Sounds Good Audiology Services PLLC
• South Merrick NP in Adult Health P.C.
• South Queens Dialysis Center
• South Queens Nephrology Associates
• Sovereign Care Medical Supplies Inc
• Halime Meryem Soylu, MD
• Erika Spadaro
• Ruth Sparks, CASAC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jamaica, NY
• Providers in Jamaica, 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 May 22, 2008; 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.