BRONX RIVER NEPHRO-CARE INC. NPI 1538103494

NPI Information

NPI: 1538103494
Provider Name: BRONX RIVER NEPHRO-CARE INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 33D2144780

Address:
1616 BRONXDALE AVE
BRONX, NY
ZIP 10462
Phone: (718) 430-9800
Get Directions

BRONX RIVER NEPHRO-CARE INC. is an end-stage renal disease (esrd) treatment clinic center in Bronx, NY. BRONX RIVER NEPHRO-CARE INC. NPI is 1538103494. The provider is registered as an organization entity type.

The provider's business location address is:

1616 BRONXDALE AVE
BRONX, NY
ZIP 10462-302
Phone: (718) 430-9800
Fax: (718) 430-6854

The provider's authorized official is Corene Korba .
The authorized official title is Billing Manager and has the following contact phone number (914) 644-9276.

The CLIA number assigned to this NPI record is 33D2144780 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 1/24/2017.

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	7000249R	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	01812064	MEDICAID	NEW YORK
2	332576	MEDICARE OSCAR/CERTIFICATION

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

NPI Synchronization or Removal

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