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

Knickerbocker Dialysis Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1013642404

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Elmhurst, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7921 Queens Blvd
Elmhurst, NY 11373-3746
Phone: (929) 895-7482
Fax: (929) 895-7023
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 number1013642404
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDavita Inc
Authorized official John Winstel — Chief Accounting Officer · (615) 320-4414
Other names Elmcare Dialysis
NPI enumeratedJuly 19, 2022
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022
Mailing address5200 Virginia Way, L And C Dept, Brentwood, TN 37027-7569

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