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WORKMENS CIRCLE DIALYSIS CENTER INC NPI 1376880690


NPI Information

NPI: 1376880690
Provider Name: WORKMENS CIRCLE DIALYSIS CENTER INC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3155 GRACE AVE
BRONX, NY
ZIP 10469
Phone: (718) 379-8100
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WORKMENS CIRCLE DIALYSIS CENTER INC is an end-stage renal disease (esrd) treatment clinic center in Bronx, NY. WORKMENS CIRCLE DIALYSIS CENTER INC NPI is 1376880690. The provider is registered as an organization entity type.

The provider's business location address is:

3155 GRACE AVE
BRONX, NY
ZIP 10469-134
Phone: (718) 379-8100

The provider's authorized official is Arthur Cooperberg .
The authorized official title is Cfo and has the following contact phone number (516) 422-7882.

The enumeration date for this NPI number is 1/7/2013 and was last updated on 5/12/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentNEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103760249MEDICAIDNEW YORK
2332695MEDICARE OSCAR/CERTIFICATIONNEW 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.