New York Dialysis Services, Inc.

Primary specialty

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

Legal business name

NEW YORK DIALYSIS SERVICES, INC.

Doing business as

Hicksville Dialysis Center

Practice address

760 S Broadway
Hicksville, NY 11801-5017

Phone

(516) 827-1370

Fax

(516) 827-1377

NPI assigned

Jun 24, 2015

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mark R. Fawcett

Title

Senior VP and Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• Hicksville Dialysis Center Doing business as

Locations

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1881076099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015017",
            "telephone_number": "516-827-1370",
            "fax_number": "516-827-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015017",
            "telephone_number": "516-827-1370",
            "fax_number": "516-827-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK DIALYSIS SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2015-06-24",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SENIOR VP AND TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hicksville Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hicksville, NY
• Providers in Hicksville, 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 Aug 23, 2016; 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.