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 1174018329

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Little Neck, New York. Registered with an NPI since 2018.

In the registry since
2018
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

25217 Northern Blvd
Little Neck, NY 11362-1355
Phone: (718) 292-3598
Fax: (718) 292-3593
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 number1174018329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Hilger — Chief Accounting Officer · (615) 320-4414
Other names Little Neck Dialysis
NPI enumeratedJune 28, 2018
Last updated in NPPESJune 28, 2018
Mailing address5200 Virginia Way, L And C Dept, Brentwood, TN 37027-7569

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