NPIMap

Organization Active NPI

Nassau Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hempstead, NY
National Provider Identifier
1952342701
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NASSAU DIALYSIS LLC
Doing business as
South Shore Dialysis Center
Practice address
615 Peninsula Blvd
Hempstead, NY 11550-7221
Phone
(516) 483-6702
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Ms. Corene Korba
Title
Billing Manager
Phone
(914) 644-9276

Specialties & licenses 1

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

Addresses

Primary practice location

615 Peninsula Blvd
Hempstead, NY 11550-7221

Mailing address

615 Peninsula Blvd
Hempstead, NY 11550-7221
Phone (516) 483-6702

Other names 1

  • South Shore Dialysis Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1952342701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PENINSULA BLVD",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115507221",
            "telephone_number": "516-483-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PENINSULA BLVD",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115507221",
            "telephone_number": "516-483-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "KORBA",
        "authorized_official_first_name": "CORENE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "914-644-9276",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.