WOODMERE DIALYSISLLC NPI 1750308748

NPI Information

NPI: 1750308748
Provider Name: WOODMERE DIALYSIS,LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
CLIA Number: 33D1062755
Address: 121 FRANKLIN PL
WOODMERE, NY
ZIP 11598
Phone: (516) 374-9300

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NPI Details

WOODMERE DIALYSIS,LLC is an end-stage renal disease (esrd) treatment clinic center in Woodmere, NY. WOODMERE DIALYSIS,LLC NPI is 1750308748. The provider is registered as an organization entity type.

The provider's business location address is:

121 FRANKLIN PL
WOODMERE, NY
ZIP 11598-218
Phone: (516) 374-9300
Fax: (516) 374-1786

The provider's authorized official is Bent Philipson .
The authorized official title is President and has the following contact phone number (516) 374-9300.

The CLIA number assigned to this NPI record is 33D1062755 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 10/12/2007.

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	332634	MEDICARE OSCAR/CERTIFICATION	NEW YORK
2	02860979	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: 11/21/2025

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