Organization · Type 2 NPI

Knickerbocker Dialysis Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bronx, NY

NPI number 1902456742 Active

Practice location

34 Marconi St, Ste 110
Bronx, NY 10461-2755

Call (929) 286-5280 Map

Fax (929) 286-5281

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Another provider at this address

Bitang Li, ACUPUNCTURISTAcupuncturist Bronx, NY NPI 1659935088

Other end-stage renal disease (esrd) treatment clinic/center providers in Bronx

See all in Bronx →

NPI record

NPI: 1902456742
Entity type: Organization (Type 2)
Issued: Sep 13, 2019
Last updated: Mar 6, 2026
Status: Active

Other names

<unavail>
Bronxchester Home Training · doing business as
Bronxchester Home Training · doing business as

Authorized official

Samuel Wey
Assistant Secretary
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1902456742

Knickerbocker Dialysis Inc's National Provider Identifier is 1902456742, issued on Sep 13, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bronx, NY. The record was last updated on Mar 6, 2026.