Everest Dialysis Services, Inc.

Primary specialty

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

Legal business name

EVEREST DIALYSIS SERVICES, INC.

Doing business as

Montefiore Dialysis Center III

Practice address

1325 Morris Park Ave
Bronx, NY 10461-2303

Phone

(718) 597-2255

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Balter, M.D.

Title

Ceo and Owner

Phone

(708) 492-4532

Specialties & licenses 1

Addresses

Other names 1

• Montefiore Dialysis Center III Doing business as

Tax ID family

Everest Dialysis Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Everest Dialysis Services, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
  • NPI 1104949981
  NPD tax ID

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558482679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612303",
            "telephone_number": "718-597-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612303",
            "telephone_number": "718-597-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST DIALYSIS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "708-492-4532",
        "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": "Montefiore Dialysis Center III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eve III Community Pharmacy LLC
• Evelyn Cordero MD PC
• Evelyn Place Adult Social Center
• Yael Even-Hen, OTR/L
• Everest Dialysis Services, Inc.
• Everest Learning Inc
• Steven Parker Everett, CA SAC
• Dawn Everline, L.P.N
• Evers RX Inc
• Evers RX Inc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bronx, NY
• Providers in Bronx, 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.