Ms Acquisitions III, LLC

Primary specialty

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

Legal business name

MS ACQUISITIONS III, LLC

Practice address

10 Claremont Ave
Mount Vernon, NY 10550-1609

Phone

(914) 512-9379

Fax

(914) 512-9374

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Josh Peckman

Title

Administrator

Phone

(914) 512-9379

Specialties & licenses 1

Addresses

Other names 1

• Westchester Center For Renal Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Westchester Center for Renal CareCCN 332718

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jan 23, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

9

Tax ID family

Ms Acquisitions III LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ms Acquisitions III, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mount Vernon, NY
  • NPI 1528404985
  NPD tax ID

Affiliated clinicians 3

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

• Kameswari Desiraju Lakshmi, MD

  • Nephrology Physician
  • New Rochelle, NY
  • NPI 1942324132

  Dialysis facility

  Care Compare affiliation Name & address match
• Muhammad Irfan Qadir, M.D.

  • Nephrology Physician
  • Mount Vernon, NY
  • NPI 1154416071

  Dialysis facility

  Care Compare affiliation Name & address match
• Majed Mark Samarneh, MD

  • Internal Medicine Physician
  • Yonkers, NY
  • NPI 1366687139

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1770908410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CLAREMONT AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501609",
            "telephone_number": "914-512-9379",
            "fax_number": "914-512-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CLAREMONT AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501609",
            "telephone_number": "914-512-9379",
            "fax_number": "914-512-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS ACQUISITIONS III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "PECKMAN",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "914-512-9379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westchester Center For Renal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mount Vernon Vision Center Corporation
• Cecilia Moy, MS
• MP Family Health NP PLLC
• Ms Acquisitions 1
• Ms Acquisitions III, LLC
• Mt Vernon Hospital
• Mt Vernon Medical Care, PC
• Mt Vernon Pharmacy Corp
• Mt Vernon RX LLC
• Mt. Vernon Eye Center Inc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mount Vernon, NY
• Providers in Mount Vernon, 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 Feb 24, 2015; 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.