RIDGEWOOD DIALYSIS CENTER INC NPI 1467451229

NPI Information

NPI: 1467451229
Provider Name: RIDGEWOOD DIALYSIS CENTER, INC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 33D0673218

Address:
385 SENECA AVE
RIDGEWOOD, NY
ZIP 11385
Phone: (718) 366-1111
Get Directions

RIDGEWOOD DIALYSIS CENTER, INC is an end-stage renal disease (esrd) treatment clinic center in Ridgewood, NY. RIDGEWOOD DIALYSIS CENTER, INC NPI is 1467451229. The provider is registered as an organization entity type.

The provider's business location address is:

385 SENECA AVE
RIDGEWOOD, NY
ZIP 11385-340
Phone: (718) 366-1111
Fax: (718) 821-2956

The provider's authorized official is J. Ganesh Bhat .
The authorized official title is President and has the following contact phone number (718) 366-1111.

The CLIA number assigned to this NPI record is 33D0673218 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2005 and was last updated on 3/4/2015.

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	7003241R	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	332541	MEDICARE OSCAR/CERTIFICATION	NEW YORK
2	005333	OTHER	NEW YORK	EMPIRE BCBS
3	01280184	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: 4/28/2024

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