DAVITA OF NEW YORK INC NPI 1073778379

NPI Information

NPI: 1073778379
Provider Name: DAVITA OF NEW YORK INC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: UTICA AVENUE DIALYSIS CENTER
CLIA Number: 33D1005736
Address: 1305 UTICA AVE
BROOKLYN, NY
ZIP 11203
Phone: (718) 629-3900

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NPI Details

DAVITA OF NEW YORK INC is an end-stage renal disease (esrd) treatment clinic center in Brooklyn, NY. DAVITA OF NEW YORK INC NPI is 1073778379. The provider is registered as an organization entity type.
The provider Is Doing Business As Utica Avenue Dialysis Center.

The provider's business location address is:

1305 UTICA AVE
BROOKLYN, NY
ZIP 11203-911
Phone: (718) 629-3900
Fax: (718) 629-6315

The provider's authorized official is Jim Hilger .
The authorized official title is Vice President and has the following contact phone number (253) 382-1919.

The CLIA number assigned to this NPI record is 33D1005736 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2008 and was last updated on 7/25/2008.

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			Yes

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: 3/30/2025

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