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

Knickerbocker Dialysis Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1063803435

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brooklyn, New York. Registered with an NPI since 2015.

In the registry since
2015
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

1915 Ocean Ave
Brooklyn, NY 11230-6801
Phone: (718) 258-7700
Fax: (718) 258-9273
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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

Record details

NPI number1063803435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Midwood Dialysis; Midwood Dialysis
NPI enumeratedFebruary 6, 2015
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address5200 Virginia Way, L & C Dept, Brentwood, TN 37027-7569

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