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

Kew Gardens Dialysis Center

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1295931624

Kew Gardens Dialysis Center is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kew Gardens, New York. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2007.

CMS rating
3 of 5
In the registry since
2007

CMS quality rating

3 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 332589)

Practice location Address checks out

12046 Queens Blvd
Kew Gardens, NY 11415-1204
Phone: (718) 793-3341
Fax: (718) 268-1666
Show map & directions

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

Record details

NPI number1295931624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominic Licciardi — Coo · (718) 987-5942
NPI enumeratedJune 22, 2007
Last updated in NPPESApril 3, 2013
Mailing address97 New Dorp Ln, Staten Island, NY 10306-2364

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