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 1902142607

Knickerbocker Dialysis Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Tonawanda, New York. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4041 Delaware Ave Ste 150
Tonawanda, NY 14150-6828
Phone: (716) 871-8103
Fax: (716) 871-8107
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 number1902142607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Assistant Secretary · (615) 341-6641
Other names Northtowns Dialysis Center; Northtowns Dialysis Center
NPI enumeratedDecember 27, 2012
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 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.

Other providers in Tonawanda