Renal Care of Northern New York, LLC

Primary specialty

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

Legal business name

RENAL CARE OF NORTHERN NEW YORK, LLC

Practice address

19320 Washington Street
Suite II
Watertown, NY 13601

Phone

(716) 282-2200

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By 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

Michael Sloma

Title

President

Phone

(716) 282-2200

Specialties & licenses 1

Addresses

Tax ID family

Ability Network2 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.

• Watertown Dialysis Center, LLC

  dba Watertown Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Watertown, NY
  • NPI 1710368618
  NPD tax ID

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.

• Donald William Landry, M.D.

  • Nephrology Physician
  • New York, NY
  • NPI 1033286273
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598839540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 HYDE PARK BLVD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143052204",
            "telephone_number": "716-282-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19320 WASHINGTON STREET",
            "address_2": "SUITE II",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "716-282-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE OF NORTHERN NEW YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLOMA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-282-2200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin S Reimer, MD
• David V Reindl, MD
• Laura Reitler
• Margot M Remington, MD
• Sara Remley, CPO
• Eugene M Renzi, MD
• Kristin N Renzi, RPH
• Darlene Marie Repp, LPN
• Shirley Alice Retz, MHC
• Amanda Reynolds, COTA/L

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