Dialysis Clinic Inc.

Primary specialty

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

License

5957201R Issued in NY

Legal business name

DIALYSIS CLINIC INC.

Practice address

100 Woods Rd
Macy Pavillion, 2ND Floor, Room 240
Valhalla, NY 10595-1530

Phone

(914) 493-1160

Fax

(914) 493-8692

NPI assigned

Jul 27, 2006

Last updated

Oct 5, 2023By 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

Mr. Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1780608257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 TARRYTOWN RD",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105233423",
            "telephone_number": "914-592-5858",
            "fax_number": "914-592-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "address_2": "MACY PAVILLION, 2ND FLOOR, ROOM 240",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-493-1160",
            "fax_number": "914-493-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "5957201R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03010464",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Elizabeth Devlin, M.S
• Japnit Kaur Dham, MD
• Abhay Dhand, M.D.
• Dominic Jared Dhaniram, MD
• Melanie Di Stante, PA-C, RD, CDCE
• Paul T. Diamond, MD
• Steven G. Dickstein, M.D.
• Mary Margaret Didie, M.D.
• Rosemarie E Diercksen, FNP
• Thomas Diflo, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Valhalla, NY
• Providers in Valhalla, 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 Oct 5, 2023; 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.