Active NPI
Mvny Partners III, LLC
Doing business as U.S. Renal Care Masonic Care Community Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Utica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- MVNY PARTNERS III, LLC
- Doing business as
- U.S. Renal Care Masonic Care Community Dialysis
- Practice address
- 2150 Bleecker St
Utica, NY 13501-1738 - Phone
- (315) 624-5640
- Fax
- (315) 624-5735
- NPI assigned
- Apr 7, 2022
- Last updated
- Apr 15, 2022
- Organization subpart
- Yes
- Parent organization
- U.S. RENAL CARE INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L. Weinberg
- Title
- Chairman and Manager
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
2150 Bleecker St
Utica, NY 13501-1738
Mailing address
PO Box 631724
Cincinnati, OH 45263-1724
Phone (315) 624-5640
Other names 1
- U.S. Renal Care Masonic Care Community Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230803002286 | NY | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 3577924711 | Practice locations: Utica, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2269962 | Mvny III Partners LLC Dba US Renal Care | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba U.S. Renal Care Bryan Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bryan, TX
- NPI 1578839080
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Utica, NY
- NPI 1548346661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649980800000",
"number": "1891437281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631724",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452631724",
"telephone_number": "315-624-5640",
"fax_number": "315-624-5735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 BLEECKER ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135011738",
"telephone_number": "315-624-5640",
"fax_number": "315-624-5735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MVNY PARTNERS III, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE INC.",
"enumeration_date": "2022-04-07",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CHAIRMAN AND MANAGER",
"authorized_official_telephone_number": "214-736-2700"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "U.S. Renal Care Masonic Care Community Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "U.S. Renal Care Masonic Care Community Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Utica, NY
- MVHS Inc (Mohawk Valley Health System Inc)
- MVHS Inc (Mohawk Valley Health System Inc)
- MVHS Inc (Mohawk Valley Health System Inc)
- Mvny Partners I LLC (U.S. Renal Care Faxton Dialysis)
- Mvny Partners II LLC (U.S. Renal Care St Luke Dialysis)
- Beverly A Myers
- Akash Nadella, MD
- Devayani Namassivaya, MD
- Nalini J Namassivaya, MD
- Marjorie Naples, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.