Organization Active NPI

Regency Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Yonkers, NY
National Provider Identifier
1912399320
Registry record updated Feb 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
REGENCY DIALYSIS CENTER LLC
Practice address
65 Ashburton Ave
Yonkers, NY 10701-2930
Phone
(914) 963-4000
NPI assigned
Feb 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2015

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

Authorized official

Name
Michael Melnicke
Title
Manager / Member
Phone
(914) 963-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NY Primary

Addresses

Primary practice location

65 Ashburton Ave
Yonkers, NY 10701-2930

Mailing address

65 Ashburton Ave
Yonkers, NY 10701-2930
Phone (914) 963-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150326000315 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 8527385830 Practice locations: Yonkers, NY

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Regency Dialysis CenterCCN 332726
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Jul 24, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
12

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424476800000",
    "number": "1912399320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ASHBURTON AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012930",
            "telephone_number": "914-963-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ASHBURTON AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012930",
            "telephone_number": "914-963-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-21",
        "last_updated": "2015-02-21",
        "status": "A",
        "authorized_official_last_name": "MELNICKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER / MEMBER",
        "authorized_official_telephone_number": "914-963-4000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2015; 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.