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Knickerbocker Dialysis Inc

Knickerbocker Dialysis Inc is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Yonkers, NY, holding Type 2 (organization) NPI 1376588038 since 2006. The authorized official on file is Samuel Wey, Assistant Secretary.

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NPI 1376588038
Entity type Organization (Type 2)
Legal business name Knickerbocker Dialysis Inc
Other name <Unavail>
Practice address 575 YONKERS AVE, Yonkers, NY, 10704
Phone 9143772370
Fax 9143772970
Enumeration date 2006-06-18
Last updated in NPPES 2025-12-19

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
03055103 Medicaid NY
Copy-ready billing details
Provider: Knickerbocker Dialysis Inc
NPI: 1376588038
Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center)
Address: 575 YONKERS AVE, Yonkers, NY, 10704

Providers at this address

NPI Name Type Specialty Location
1659988244 Devika Khan Individual Social Worker Yonkers, NY

Verify this record

Cross-check NPI 1376588038 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

Where is Knickerbocker Dialysis Inc located?
The practice location on file with NPPES is in Yonkers, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-12-19. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-12-19.