Active NPI
Episcopal Health Services Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Far Rockaway, NY
National Provider Identifier
1700049145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 7001024H
- Legal business name
- EPISCOPAL HEALTH SERVICES INC
- Doing business as
- ST JOHN'S EPISCOPAL HOSPITAL- ESRD
- Practice address
- 327 Beach 19TH St
Far Rockaway, NY 11691-4423 - Phone
- (718) 869-7000
- Fax
- (718) 869-8507
- NPI assigned
- Jul 7, 2008
- Organization subpart
- Yes
- Parent organization
- EPISCOPAL HEALTH SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Guido
- Title
- Cfo - Chief Financial Officer
- Phone
- (718) 869-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 7001024H | NY | Primary |
Addresses
Primary practice location
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Mailing address
377 Oak St Ste 300
Garden City, NY 11530-6542
Phone (718) 869-8578
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000085 | Other | NY | BLUE CROSS |
| 00729382 | Medicaid | NY |
Other names 1
- ST JOHN'S EPISCOPAL HOSPITAL- ESRD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210615000991 | NY | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9931158334 | Practice locations: Far Rockaway, NY |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- General Acute Care Hospital
- Far Rockaway, NY
- NPI 1346274537
9931158334
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Marjorie Basser Dialysis Center
- Overall star rating
- Ownership
- Profit
- Certified
- Nov 9, 1981
- Medicare certification status
- Active
- Dialysis stations
- 15
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Part of
- Episcopal Health Services
Practitioners & affiliated clinicians
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": "1215388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1700049145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 OAK ST STE 300",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115306542",
"telephone_number": "718-869-8578",
"fax_number": "718-869-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 BEACH 19TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914423",
"telephone_number": "718-869-7000",
"fax_number": "718-869-8507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPISCOPAL HEALTH SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EPISCOPAL HEALTH SERVICES INC",
"enumeration_date": "2008-07-07",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "GUIDO",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "CFO - CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "718-869-7000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NY",
"license": "7001024H",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000085",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00729382",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ST JOHN'S EPISCOPAL HOSPITAL- ESRD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ST JOHN'S EPISCOPAL HOSPITAL- ESRD",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.