Active NPI
Huntington Artificial Kidney Center LTD
Doing business as Freeport Kidney Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Freeport, NY
National Provider Identifier
1740216159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- HUNTINGTON ARTIFICIAL KIDNEY CENTER LTD
- Doing business as
- Freeport Kidney Center
- Practice address
- 351 S Main St
Freeport, NY 11520-5114 - Phone
- (516) 623-1786
- Fax
- (516) 546-5074
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Wey
- Title
- Assistant Secretary
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
351 S Main St
Freeport, NY 11520-5114
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00702516 04 | Medicaid | NY |
Other names 1
- Freeport Kidney Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110421000078 | NY | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1759292774 | Practice locations: Freeport, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Medford Kidney Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Medford, NY
- NPI 1487682134
1759292774
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Freeport Kidney Center
- Overall star rating
- Ownership
- Profit
- Certified
- Dec 24, 1984
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 21
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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0153089 | Freeport Kidney Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
351 S Main St
Freeport, NY 11520
Phone (516) 623-1786
256 Broadway
Huntington Station, NY 11746
Phone (631) 378-4170
1 Locust Ln
Syosset, NY 11791
Phone (516) 364-2100
Practitioners & affiliated clinicians
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- Rockville Centre, NY
- NPI 1851330328
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1740216159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 S MAIN ST",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115205114",
"telephone_number": "516-623-1786",
"fax_number": "516-546-5074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTINGTON ARTIFICIAL KIDNEY CENTER LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "615-341-6641"
},
"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": "00702516 04",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Freeport Kidney Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Freeport Kidney Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.