Eastview Dialysis, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OP. CERT.# 3464201R Issued in NY

Legal business name

EASTVIEW DIALYSIS, INC.

Practice address

120 Victor Heights Pkwy
Victor, NY 14564-8934

Phone

(585) 742-1250

Fax

(585) 472-1951

NPI assigned

Nov 10, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Spalding

Title

Administrator

Phone

(585) 742-1250

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952382582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VICTOR HEIGHTS PKWY",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145648934",
            "telephone_number": "585-742-1250",
            "fax_number": "585-472-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VICTOR HEIGHTS PKWY",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145648934",
            "telephone_number": "585-742-1250",
            "fax_number": "585-472-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTVIEW DIALYSIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPALDING",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "585-742-1250"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "OP. CERT.# 3464201R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01900292",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise M. Dumas, M.A.
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• Specialist in Victor, NY
• Providers in Victor, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.