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

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1245731876

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Staten Island, New York. Medicare rates this dialysis facility 5 out of 5. Registered with an NPI since 2018.

CMS rating
5 of 5
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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CMS quality rating

5 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 332799)

Practice location Address checks out

30 Sneden Ave
Staten Island, NY 10312-3637
Phone: (718) 356-2678
Fax: (718) 356-6376
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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 number1245731876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Staten Island South Dialysis
NPI enumeratedFebruary 28, 2018
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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