Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Knickerbocker Dialysis Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mount Vernon, NY · enumerated 2018 · authorized official Samuel Wey, Assistant Secretary.

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

National Provider Identifier

1508366386

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Registry record

Entity type Organization (Type 2)

Legal business name Knickerbocker Dialysis Inc

Other name <Unavail>

Practice address 120 E Sandford Blvd, Mount Vernon, NY, 10550

Phone (914) 665-2035

Fax (914) 667-5126

Enumeration date Feb 18, 2018

Last updated in NPPES May 29, 2026

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
05707391	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

Where is Knickerbocker Dialysis Inc located?

The practice location on file with NPPES is in Mount Vernon, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-05-29. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-29.