Ulster Dialysis, LLC

Primary specialty

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

Legal business name

ULSTER DIALYSIS, LLC

Practice address

900 Miron LN
Kingston, NY 12401-1567

Phone

(845) 666-0790

Fax

(845) 666-0785

NPI assigned

Oct 8, 2020

Last updated

Oct 8, 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

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

USRC Ulster DialysisCCN 332828

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jul 19, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Dhupar, MD

  • Nephrology Physician
  • Poughkeepsie, NY
  • NPI 1053374934
  NPD
• Paul Feldman, MD

  • Nephrology Physician
  • Newburgh, NY
  • NPI 1497844757
  NPD (past)

Affiliated clinicians 3

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

• Geoffrey Lee, MD

  • Internal Medicine Physician
  • Kingston, NY
  • NPI 1578528873

  Dialysis facility

  Care Compare affiliation Name & address match
• Beth Lynn Stefanchik, D.O.

  • Nephrology Physician
  • Kingston, NY
  • NPI 1992942551

  Dialysis facility

  Care Compare affiliation Name & address match
• Yong N Wen, MD

  • Nephrology Physician
  • Newburgh, NY
  • NPI 1578513883

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1952908386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631106",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631106",
            "telephone_number": "845-666-0790",
            "fax_number": "845-666-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MIRON LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011567",
            "telephone_number": "845-666-0790",
            "fax_number": "845-666-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULSTER DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ulster County
• Ulster County DSS Early Intervention Unit
• Ulster County DSS Early Intervention Unit
• Ulster County Mental Health
• Ulster County Mental Health Department
• Ulster Family Medicine, LLP
• Ulster Gastroenterology, PLLC
• Ulster Home Care, Inc (Always There Family Home Care)
• Ulster Home Health Services Inc (Always There Family Home Health Services)
• Ulster NH Operation LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kingston, NY
• Providers in Kingston, 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 Oct 8, 2020; 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.