Knickerbocker Dialysis Inc
Knickerbocker Dialysis Inc is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ridgewood, NY, holding Type 2 (organization) NPI 1679192876 since 2020. The authorized official on file is Samuel Wey, Vp, Licensure & Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679192876 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Knickerbocker Dialysis Inc |
| Other name | <Unavail> |
| Practice address | 1734 HANCOCK ST, Ridgewood, NY, 11385 |
| Phone | 9292901267 |
| Fax | 9179095950 |
| Enumeration date | 2020-04-09 |
| Last updated in NPPES | 2026-06-02 |
Authorized official
| Name | Samuel Wey |
|---|---|
| Title | Vp, Licensure & Certification |
| 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 |
|---|---|---|---|
| 06667752 | Medicaid | NY | — |
Copy-ready billing details
Provider: Knickerbocker Dialysis Inc NPI: 1679192876 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 1734 HANCOCK ST, Ridgewood, NY, 11385
Verify this record
Cross-check NPI 1679192876 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
What is the NPI number for Knickerbocker Dialysis Inc?
Who is the authorized official for Knickerbocker Dialysis Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-06-02.