TRUE NORTH DIALYSIS CENTER LLC NPI 1124753603

NPI Information

NPI: 1124753603
Provider Name: TRUE NORTH DIALYSIS CENTER LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
:
Address: 1071 N BROADWAY
MASSAPEQUA, NY
ZIP 11758
Phone: (516) 927-7192

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NPI Details

TRUE NORTH DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Massapequa, NY. TRUE NORTH DIALYSIS CENTER LLC NPI is 1124753603. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1071 N BROADWAY
MASSAPEQUA, NY
ZIP 11758-802
Phone: (516) 927-7192
Fax: (516) 927-7665

The provider's authorized official is Samuel Wey .
The authorized official title is Assistant Secretary and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 7/19/2022 and was last updated on 2/18/2025.

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

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	07826364	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: 3/30/2025

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