NYU Langone Hospitals

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bethpage, NY

NPI 1760480628 · NPPES record last updated Mar 30, 2026

Key facts

NPI
1760480628
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
License
2908000H (NY)
Legal business name
NYU LANGONE HOSPITALS
Practice address
530 Hicksville Road
Bethpage, NY 11714-3415
Phone
(516) 663-4985
Fax
(516) 663-4979
NPI assigned
Jul 13, 2005
Organization subpart
Yes
Parent organization (as reported)
NYU LANGONE HOSPITALS

Authorized official

Name
Palmira Cataliotti
Title
SVP & Cfo
Phone
(516) 663-2311

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 245

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 245

Affiliated clinicians 3

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

Medicare Care Compare: Dialysis facility

Listed as
NYU Winthrop Hospital Dialysis Bethpage CCN 333522
Overall star rating
★★★★☆ 4.0 of 5
Ownership
Non-profit
Certified
Feb 25, 1998
Medicare certification status
Active (Provider of Services file)
Dialysis stations
12

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190910001659 NY Part a Provider - End-Stage Renal Disease Facility (ESRD) 4981515699 Practice locations: Bethpage, NY

National Provider Directory

Tax ID family
Hospital for Joint Diseases NYU Lagone Medical Center (64 organizations share this tax ID)
Part of
Hospital for Joint Diseases NYU Lagone Medical Center

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 2908000H NY Yes

Addresses

Primary practice location

530 Hicksville Road
Bethpage, NY 11714-3415

Mailing address

200 Old Country Road
Mineola, NY 11501-4235
Phone (516) 663-9012

Other identifiers

IdentifierTypeStateIssuer
00244211MedicaidNY

Other names

  • NYU Langone Hospital Long Island Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Other providers in Bethpage, NY

All providers in Bethpage, NY · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

Sources for this page

Verify at the official NPI Registry.