New York Dialysis Services, Inc.

Primary specialty

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

Legal business name

NEW YORK DIALYSIS SERVICES, INC.

Practice address

362 4TH Ave
Brooklyn, NY 11215-2718

Phone

(718) 858-6675

Fax

(718) 522-3608

NPI assigned

Apr 2, 2007

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

James J. Divito

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FMS-ATLANTIC PERITONEAL DIALYSIS & HOME TRAINING CENTER Doing business as

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1730200593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152718",
            "telephone_number": "718-858-6675",
            "fax_number": "718-522-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152718",
            "telephone_number": "718-858-6675",
            "fax_number": "718-522-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK DIALYSIS SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "DIVITO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01855889",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMS-ATLANTIC PERITONEAL DIALYSIS & HOME TRAINING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New York Dialysis Services, Inc.
• New York Dialysis Services, Inc.
• New York Dialysis Services, Inc.
• New York Dialysis Services, Inc.
• New York Dialysis Services, Inc.
• New York Drugs and Surgicals Inc.
• New York E.N.T., PLLC
• New York Eye Associates, LLC
• New York Family Dental Care
• New York Family Dental Care 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 Dec 28, 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.