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

Knickerbocker Dialysis Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1801822929

Knickerbocker Dialysis Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Lynbrook, 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

147 Scranton Ave
Lynbrook, NY 11563-2808
Phone: (516) 596-4101
Fax: (516) 596-4290
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 number1801822929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Assistant Secretary · (615) 341-6641
Other names Lynbrook Dialysis Center; Lynbrook Dialysis Center
NPI enumeratedJune 23, 2006
Last updated in NPPESNovember 5, 2026
Certification dateNovember 5, 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.