Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Knickerbocker Dialysis Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1467489369

Knickerbocker Dialysis Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Bronx, New York. Registered with an NPI since 2006.

In the registry since
2006
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

4026 Boston Rd
Bronx, NY 10475-1122
Phone: (718) 862-9245
Fax: (718) 862-9238
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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 number1467489369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Assistant Secretary · (615) 341-6641
Other names Boston Post Road Dialysis Center; Boston Post Road Dialysis Center
NPI enumeratedJune 27, 2006
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

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