Central Brooklyn Dialysis Center

Primary specialty

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

License

7001118R Issued in NY

Legal business name

CENTRAL BROOKLYN DIALYSIS CENTER

Practice address

818 Sterling PL
Brooklyn, NY 11216-3904

Phone

(718) 735-6660

Fax

(718) 707-6633

NPI assigned

Jul 14, 2005

Organization subpart

No

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

Authorized official

Name

J. Ganesh Bhat, MD

Title

President

Phone

(718) 366-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Atlantic DMS - Central Brooklyn Sterling PlaceCCN 332646

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jan 28, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Atlantic Dialysis Management Services

Dialysis stations

32

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Affiliated clinicians 4

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

• Pravin Bhat, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1336411990

  Dialysis facility

  Care Compare affiliation Name & address match
• Eric Louis Jerome, M.D

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1841216330

  Dialysis facility

  Care Compare affiliation Name & address match
• Chika Oguagha, M.D.

  • Specialist
  • Brooklyn, NY
  • NPI 1932215357

  Dialysis facility

  Care Compare affiliation Name & address match
• Geoffroy Hallah Patrice, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1063534741

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1790784551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 COLLEGE POINT BLVD",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562526",
            "telephone_number": "718-735-6660",
            "fax_number": "718-707-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 STERLING PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163904",
            "telephone_number": "718-735-6660",
            "fax_number": "718-707-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL BROOKLYN DIALYSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "GANESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-366-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "7001118R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02647432",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centers Adult Day Care LLC
• Centers Agency LLC
• Centipede'S O&P LLC
• Erika Ashly Centra, OTR/L
• Central Ata, Inc.
• Central Brooklyn Medical Group
• Central Brooklyn Medical Group
• Central Brooklyn Medical Group
• Central Brooklyn Medical Group
• Central Brooklyn Physician PLLC

• 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 Mar 4, 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.