Glengariff Dialysis Center LLC

Primary specialty

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

Legal business name

GLENGARIFF DIALYSIS CENTER LLC

Practice address

141 Dosoris LN
Glen Cove, NY 11542-1225

Phone

(516) 676-1100

NPI assigned

Feb 21, 2015

Organization subpart

No

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

Authorized official

Name

Sanjay Ahuja

Title

Manager / Member

Phone

(516) 676-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Glengariff Dialysis Center, LLCCCN 332775

Ownership

Profit

Certified

Nov 14, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

6

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.

• Paul P Chang, MD

  • Specialist
  • New York, NY
  • NPI 1952390528

  Dialysis facility

  Care Compare affiliation Name & address match
• Neeraj Kumar, MD

  • Nephrology Physician
  • Jamaica, NY
  • NPI 1356594873

  Dialysis facility

  Care Compare affiliation Name & address match
• Mohsen Pahlavan, MD

  • Nephrology Physician
  • Plainview, NY
  • NPI 1518945310

  Dialysis facility

  Care Compare affiliation Name & address match
• Yelena Rosenberg, M.D.

  • Nephrology Physician
  • Mineola, NY
  • NPI 1598763187

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424476800000",
    "number": "1821480237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 DOSORIS LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421225",
            "telephone_number": "516-676-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DOSORIS LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421225",
            "telephone_number": "516-676-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENGARIFF DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-21",
        "last_updated": "2015-02-21",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "MANAGER / MEMBER",
        "authorized_official_telephone_number": "516-676-1100"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Cove Physical Therapy, P.C.
• Glen Head Chiropractic & Physical Therapy, PLLC
• Glen Medical Health, PC
• Glencove OBGYN Associates
• Glengariff Corporation
• Glengariff Operating LLC
• Florin Vasile Glodan, MD
• Mary E Gola Perez, PA
• Wendy Ellen Goldenberg, RD
• Jake Goldstein

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Glen Cove, NY
• Providers in Glen Cove, 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 21, 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.