Organization Active NPI

Sea Crest Acquisition II, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1598206641
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
1111 Issued in NY
Legal business name
SEA CREST ACQUISITION II, LLC
Doing business as
Cassena Kidney Care at Sea Crest
Practice address
3035 W 24TH St
Brooklyn, NY 11224-2114
Phone
(516) 422-7817
NPI assigned
Mar 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Pasquale Debenedictis
Title
Manager / Member
Phone
(516) 422-7818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 1111 NY Primary

Addresses

Primary practice location

3035 W 24TH St
Brooklyn, NY 11224-2114

Mailing address

3035 W 24TH St
Brooklyn, NY 11224-2114

Other identifiers 1

IdentifierTypeStateIssuer
332763OtherCCN

Other names 1

  • Cassena Kidney Care at Sea Crest Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170912000611 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 9436422573 Practice locations: Brooklyn, NY

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Cassena Kidney Care at Sea CrestCCN 332763
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Nov 29, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
21

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2315315Cassena Kidney Care at Sea Crest3035 W 24TH St, Brooklyn, NY 11224Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1598206641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 W 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 W 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242114",
            "telephone_number": "516-422-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA CREST ACQUISITION II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "DEBENEDICTIS",
        "authorized_official_first_name": "PASQUALE",
        "authorized_official_title_or_position": "MANAGER / MEMBER",
        "authorized_official_telephone_number": "516-422-7818"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "1111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "332763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cassena Kidney Care at Sea Crest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 12, 2024; 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.