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 1871260992

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brooklyn, New York. Registered with an NPI since 2021.

In the registry since
2021
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

1414 W 4th St
Brooklyn, NY 11204
Phone: (929) 480-0433
Fax: (929) 480-0454
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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 number1871260992
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDavita Inc
Authorized official John Winstel — Vice President · (156) 320-4414
Other names Mapleton Dialysis
NPI enumeratedAugust 26, 2021
Last updated in NPPESAugust 26, 2021
Certification dateAugust 5, 2021
Mailing address5200 Virginia Way, L And C Dept, Brentwood, TN 37027-7569

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