Ncpdc Kidney Center LLC

Primary specialty

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

Legal business name

NCPDC KIDNEY CENTER LLC

Practice address

70 Plaza LN
Wellsboro, PA 16901-1766

Phone

(330) 781-6212

NPI assigned

Jan 14, 2016

Last updated

Jan 29, 2025By 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

Chester A Amedia Jr.NPI 1952306995

Title

Managing Partner

Phone

(330) 781-6212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

The Kidney CenterCCN 392847

Ownership

Profit

Certified

Jul 29, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

12

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• North Central Pennsylvania Dialysis Clinics LLC

  dba Williamsport Dialysis Clinic

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montoursville, PA
  • NPI 1114922416

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Kidney Center Home Therapies LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Williamsport, PA
  • NPI 1164920567

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chester A. Amedia, MD

  • Nephrology Physician
  • Boardman, OH
  • NPI 1952306995
  NPD (past) Authorized official

Affiliated clinicians 1

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

• George Reyes Dy, M.D.

  • Internal Medicine Physician
  • Mansfield, PA
  • NPI 1962415067

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1528424975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 MARKET ST",
            "address_2": "SUITE 300",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122148",
            "telephone_number": "330-781-6212",
            "fax_number": "330-953-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PLAZA LN",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011766",
            "telephone_number": "330-781-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCPDC KIDNEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "AMEDIA",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "330-781-6212",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.