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 1124364864

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Orchard Park, New York. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2012.

CMS rating
3 of 5
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 332608)

Practice location Address checks out

3801 Taylor Rd
Orchard Park, NY 14127-2232
Phone: (716) 209-7200
Fax: (716) 209-7206
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 number1124364864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Assistant Secretary · (615) 341-6641
Other names Orchard Park Dialysis Center; Orchard Park Dialysis Center
NPI enumeratedDecember 28, 2012
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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