Island Rehabilitative Services/B'Klyn

Primary specialty

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

Legal business name

ISLAND REHABILITATIVE SERVICES/B'KLYN

Practice address

5918-5924 13TH Ave
Island Rehabilitative Services/B'Klyn
Brooklyn, NY 11219

Phone

(718) 437-1594

Fax

(718) 437-5092

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Dominic Licciardi

Title

Administrator

Phone

(718) 437-1594

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Morton Jay Kleiner, M. D.

  • Nephrology Physician
  • Staten Island, NY
  • NPI 1437147162
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790779114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031-10 FOREST AVE",
            "address_2": "ISLAND REHABILITATIVE SERVICES",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031796",
            "telephone_number": "718-448-5641",
            "fax_number": "718-448-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918-5924 13TH AVE",
            "address_2": "ISLAND REHABILITATIVE SERVICES/B'KLYN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-437-1594",
            "fax_number": "718-437-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND REHABILITATIVE SERVICES/B'KLYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LICCIARDI",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-437-1594"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00519755",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Island Musculoskeletal Care, M.D., P.C.
• Island One Occupational Therapy, PC
• Island Pharmacy & Surgical Inc
• Island Pharmacy & Surgical Inc.
• Island Pharmacy Inc
• Island Surgical Group, PC
• Kristen Alison Island, MD
• Isleep Diagnostics
• Sharon Nicola Isles
• Ali Ismail

• 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 Jul 21, 2022; 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.