RIDGEWOOD DIALYSIS CENTER INC. NPI 1467451252

NPI Information

NPI: 1467451252
Provider Name: RIDGEWOOD DIALYSIS CENTER, INC.

Other Name: SPRINGFIELD DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2314 COLLEGE POINT BLVD
COLLEGE POINT, NY
ZIP 11356
Phone: (718) 762-3330
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RIDGEWOOD DIALYSIS CENTER, INC. is an end-stage renal disease (esrd) treatment clinic center in College Point, NY. RIDGEWOOD DIALYSIS CENTER, INC. NPI is 1467451252. The provider is registered as an organization entity type.
The provider Other Name Is Springfield Dialysis Center.

The provider's business location address is:

2314 COLLEGE POINT BLVD
COLLEGE POINT, NY
ZIP 11356-526
Phone: (718) 762-3330
Fax: (718) 762-1537

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 33D0975534 - 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 11/14/2019.

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	03007572	MEDICAID	NEW YORK
2	018788	OTHER	NEW YORK	EMPIRE BCBS

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: 5/5/2024

NPI Synchronization or Removal

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