Brooklyn Home Dialysis Training Center

Primary specialty

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

Legal business name

BROOKLYN HOME DIALYSIS TRAINING CENTER

Practice address

3131 Kings Hwy
Suite A1
Brooklyn, NY 11234-2644

Phone

(718) 448-5641

Fax

(718) 876-5969

NPI assigned

May 7, 2008

Last updated

Jan 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heriberta M Diaz

Title

Director of Billing

Phone

(718) 448-5641

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1881860047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062359",
            "telephone_number": "718-448-5641",
            "fax_number": "718-876-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 KINGS HWY",
            "address_2": "SUITE A1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342644",
            "telephone_number": "718-448-5641",
            "fax_number": "718-876-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN HOME DIALYSIS TRAINING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "HERIBERTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "718-448-5641",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "00959031",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Heights Pharmacy Corp
• Brooklyn Heights Vision Inc. (Heights Vision Center)
• Brooklyn Hem-Onc Medical, PLLC
• Brooklyn Hematology Oncology, P.C.
• Brooklyn Home Care Inc
• Brooklyn Home Dialysis Training Center, Inc.
• Brooklyn Hospital Center
• Brooklyn Hospital Center
• Brooklyn Hospital Center - Emergency Department
• Brooklyn Hospital Radiology P C

• 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 Jan 13, 2009; 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.