Active NPI
Sea Crest Acquisition II, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
National Provider Identifier
1598206641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 1111
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 332763 | Other | CCN |
Other names 1
- Cassena Kidney Care at Sea Crest
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Crest
- Overall star rating
- Ownership
- Profit
- Certified
- Nov 29, 2017
- Medicare certification status
- Active
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2315315 | Cassena Kidney Care at Sea Crest | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Bronx, NY
- NPI 1972678662
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.