FISHKILL DIALYSIS CENTER LLC NPI 1265729594

NPI Information

NPI: 1265729594
Provider Name: FISHKILL DIALYSIS CENTER, LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: FISHKILL DIALYSIS CENTER, LLC
CLIA Number: 33D2114408
Address: 60 MERRITT BLVD STE 103
FISHKILL, NY
ZIP 12524
Phone: (845) 440-1280

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NPI Details

FISHKILL DIALYSIS CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Fishkill, NY. FISHKILL DIALYSIS CENTER, LLC NPI is 1265729594. The provider is registered as an organization entity type.
The provider Is Doing Business As Fishkill Dialysis Center, Llc.

The provider's business location address is:

60 MERRITT BLVD STE 103
FISHKILL, NY
ZIP 12524-917
Phone: (845) 440-1280
Fax: (845) 440-1282

The provider's authorized official is Barry L. Blanto .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 33D2114408 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2011 and was last updated on 10/17/2023.

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	03449676	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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