Organization 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
National Provider Identifier
1891437281
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. RENAL CARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803002286 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 3577924711 Practice locations: Utica, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2269962Mvny III Partners LLC Dba US Renal Care2150 Bleecker St, Utica, NY 13501Certificate of waiverMar 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.

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.

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

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.

Verify at the official NPI Registry.