Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Knickerbocker Dialysis Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1902142607

Knickerbocker Dialysis Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tonawanda, New York. Medicare rates this dialysis facility 1 out of 5. Registered with an NPI since 2012.

CMS rating
1 of 5
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 332597)

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

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