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Knickerbocker Dialysis Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ozone Park, NY · enumerated 2017 · authorized official Samuel Wey, Assistant Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396285045

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Registry record

Entity type Organization (Type 2)
Legal business name Knickerbocker Dialysis Inc
Other name <Unavail>
Practice address 100-02 Rockaway Blvd, Ozone Park, NY, 11417
Phone (718) 843-0694
Fax (718) 323-2438
Enumeration date Feb 28, 2017
Last updated in NPPES Nov 13, 2025

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Samuel Wey
Title Assistant Secretary
Phone (615) 341-6641

Other identifiers

Identifier Type State Issuer
05400959 Medicaid NY -

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.

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Frequently asked questions

Who is the authorized official for Knickerbocker Dialysis Inc?
NPPES lists Samuel Wey (Assistant Secretary) as the authorized official for this organization.
What is the NPI number for Knickerbocker Dialysis Inc?
The NPI for Knickerbocker Dialysis Inc is 1396285045, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-13.