Park Slope Dialysis Management, LLC

Primary specialty

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

Legal business name

PARK SLOPE DIALYSIS MANAGEMENT, LLC

Practice address

672 Parkside Ave
Brooklyn, NY 11226-1506

Phone

(718) 483-7428

NPI assigned

May 22, 2014

Last updated

May 22, 2014By 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

William Cundiff

Title

Compliance Officer

Phone

(718) 483-7428

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Atlantic DMS - Prospect Park Parkside AveCCN 332716

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Oct 3, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Atlantic Dialysis Management Services

Dialysis stations

32

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.

• Jodumutt G. Bhat, MD

  • Specialist
  • Maspeth, NY
  • NPI 1356390603
  NPD (past)

Affiliated clinicians 3

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

• Pravin Bhat, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1336411990

  Dialysis facility

  Care Compare affiliation Name & address match
• Henry Robert Paul, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1477507341

  Dialysis facility

  Care Compare affiliation Name & address match
• Moro O. Salifu, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1275528598

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1710399837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 PARKSIDE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261506",
            "telephone_number": "718-483-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 PARKSIDE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261506",
            "telephone_number": "718-483-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SLOPE DIALYSIS MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "718-483-7428"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Slope Dental
• Park Slope Dental Arts
• Park Slope Dental Care PLLC
• Park Slope Diagnostic Brooklyn Inc
• Park Slope Diagnostic Inc
• Park Slope Drugs
• Park Slope Emergency Physician Services, PC
• Park Slope Eye, Optometric PLLC
• Park Slope Family Dentistry PC
• Park Slope Gastroenterology PLLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, 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 May 22, 2014; 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.