NPIMap

Organization Active NPI

Brooklyn Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1801065388
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
BROOKLYN DIALYSIS CENTER, LLC
Practice address
915 Dean St
Brooklyn, NY 11238-3203
Phone
(347) 915-2140
Fax
(347) 915-2152
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Mr. Devendra Shrivastava
Title
MD
Phone
(516) 698-1260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

915 Dean St
Brooklyn, NY 11238-3203

Mailing address

915 Dean St
Brooklyn, NY 11238-3203
Phone (347) 915-2140

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Brooklyn Dialysis Center LLCCCN 332692
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Apr 25, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
25

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1801065388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 DEAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383203",
            "telephone_number": "347-915-2140",
            "fax_number": "347-915-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 DEAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383203",
            "telephone_number": "347-915-2140",
            "fax_number": "347-915-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "SHRIVASTAVA",
        "authorized_official_first_name": "DEVENDRA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-698-1260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.