Active NPI
Regency Dialysis Center LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Yonkers, NY
National Provider Identifier
1912399320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Overall star rating
- Ownership
- Profit
- Certified
- Jul 24, 2015
- Medicare certification status
- Active
- 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 DirectoryPractitioners & 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.