Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Island Rehabilitative Services/Bronx

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1649264839

Island Rehabilitative Services/Bronx is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bronx, New York. Medicare rates this dialysis facility 3 out of 5. Licensed in New York.

CMS rating
3 of 5
Licensed in
NY
In the registry since
2005
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CMS quality rating

3 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 332642)

Practice location Address checks out

1780 Grand Concourse
Bronx, NY 10457-5500
Phone: (718) 583-1800
Fax: (718) 583-4160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X (NY)

Record details

NPI number1649264839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominic Licciardi — Administrator · (718) 987-5942
NPI enumeratedSeptember 2, 2005
Last updated in NPPESJuly 21, 2022
Mailing address2031 Forest Ave, Staten Island, NY 10303-1796

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