Organization Active NPI

New York Renal Associates

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
National Provider Identifier
1598760811
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NEW YORK RENAL ASSOCIATES
Practice address
3468 Park Ave
Bronx, NY 10456-4307
Phone
(718) 401-2836
NPI assigned
Jun 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
J. Ganesh Bhat, MD
Title
President
Phone
(718) 366-1111

Specialties & licenses 1

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

Addresses

Primary practice location

3468 Park Ave
Bronx, NY 10456-4307

Mailing address

23-14 College Point Blvd
College Point, NY 11356-2526
Phone (718) 401-2836

Other identifiers 1

IdentifierTypeStateIssuer
01855807MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041015000325 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 6406816263 Practice locations: Bronx, NY

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Atlantic DMS - New York Park AveCCN 332582
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Apr 21, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Atlantic Dialysis Management Services
Dialysis stations
40

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
33D0998119New York Renal Associates3468 Park Avenue, Bronx, NY 10456Certificate 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 4

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": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1598760811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-14 COLLEGE POINT BLVD",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562526",
            "telephone_number": "718-401-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564307",
            "telephone_number": "718-401-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK RENAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "GANESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-366-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01855807",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.