Knickerbocker Dialysis Inc
Knickerbocker Dialysis Inc is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Syracuse, NY, holding Type 2 (organization) NPI 1285978999 since 2012. The authorized official on file is Samuel Wey, Assistant Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1285978999 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Knickerbocker Dialysis Inc |
| Other name | <Unavail> |
| Practice address | 910 ERIE BLVD E, Syracuse, NY, 13210 |
| Phone | 3154108040 |
| Fax | 3154108030 |
| Enumeration date | 2012-11-19 |
| Last updated in NPPES | 2026-03-24 |
Authorized official
| Name | Samuel Wey |
|---|---|
| Title | Assistant Secretary |
| Phone | 6153416641 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02300801 | Medicaid | NY | — |
Copy-ready billing details
Provider: Knickerbocker Dialysis Inc NPI: 1285978999 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 910 ERIE BLVD E, Syracuse, NY, 13210
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1932271251 | Central New York Dc, LLC | Organization | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Syracuse, NY |
| 1467632182 | Medical Pain Management of Cny, PC | Organization | Pain Medicine (Anesthesiology) Physician | Syracuse, NY |
| 1982922092 | Chung-Lei Kao | Individual | General Practice Dentistry | Syracuse, NY |
| 1114226552 | Jennifer Zingaro | Individual | Renal Nutrition Registered Dietitian | Syracuse, NY |
| 1801156591 | Jessica Spinella | Individual | Endodontics | Syracuse, NY |
Verify this record
Cross-check NPI 1285978999 against the authoritative CMS record: view Knickerbocker Dialysis Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-24.