Renal Care of Rockland, Inc.

Primary specialty

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

License

43350202R Issued in NY

Legal business name

RENAL CARE OF ROCKLAND, INC.

Practice address

131 Route 303
Valley Cottage, NY 10989-5900

Phone

(845) 268-2777

Fax

(845) 258-7198

NPI assigned

Sep 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Andrew H Moriber

Title

Chief Executive Officer

Phone

(305) 534-1905

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1902890189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ROUTE 303",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109895900",
            "telephone_number": "845-268-2777",
            "fax_number": "845-258-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ROUTE 303",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109895900",
            "telephone_number": "845-268-2777",
            "fax_number": "845-258-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE OF ROCKLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "MORIBER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-534-1905",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "43350202R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01799100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Praxair Healthcare Services, Inc.
• Syed Ali Qamer, M.D.
• Jessica Lynne Randazzo, P.T.
• Jonathan Daniel Reid, ATC
• Sonia C Reines, LCSW
• Chana Resnick
• Rite Aid of New York Inc
• Lissette Rivas, LPN
• Rockland Family Eye Clinic LLC
• Madalin Rodriguez

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Valley Cottage, NY
• Providers in Valley Cottage, 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 Apr 9, 2012; 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.