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 1407415243

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bronx, New York. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2019.

CMS rating
3 of 5
In the registry since
2019
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 332801)

Practice location Address checks out

931 Bruckner Blvd
Bronx, NY 10459-4525
Phone: (718) 378-0921
Fax: (718) 378-1423
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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 number1407415243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Assistant Secretary · (615) 341-6641
Other names Longwood Dialysis; Longwood Dialysis
NPI enumeratedJune 6, 2019
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address5200 Virginia Way, L & C Dept, Brentwood, TN 37027-7569

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