NEWYORK-PRESBYTERIAN-QUEENS NPI 1023053527

NPI Information

NPI: 1023053527
Provider Name: NEWYORK-PRESBYTERIAN-QUEENS
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: TRUDE WEISHAUPT MEMORIAL SATELLITE DIALYSIS CENTER
Address: 5928 174TH ST
FRESH MEADOWS
FRESH MEADOWS, NY
ZIP 11365
Phone: (718) 670-1276

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NPI Details

NEWYORK-PRESBYTERIAN-QUEENS is an end-stage renal disease (esrd) treatment clinic center in Fresh Meadows, NY. NEWYORK-PRESBYTERIAN-QUEENS NPI is 1023053527. The provider is registered as an organization entity type.
The provider Is Doing Business As Trude Weishaupt Memorial Satellite Dialysis Center.

The provider's business location address is:

5928 174TH ST
FRESH MEADOWS
FRESH MEADOWS, NY
ZIP 11365-539
Phone: (718) 670-1276

The provider's authorized official is Phyllis R.f. Lantos .
The authorized official title is Evp, Cfo And Treasurer and has the following contact phone number (212) 746-7905.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 10/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	7003010H PFI 2670	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	333547	OTHER	NEW YORK	MEDICARE PTAN
2	00244133	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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