Knickerbocker Dialysis Inc
Knickerbocker Dialysis Inc is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tonawanda, NY, holding Type 2 (organization) NPI 1902142607 since 2012. The authorized official on file is Samuel Wey, Assistant Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902142607 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Knickerbocker Dialysis Inc |
| Other name | <Unavail> |
| Practice address | 4041 DELAWARE AVE, STE 150, Tonawanda, NY, 14150 |
| Phone | 7168718103 |
| Fax | 7168718107 |
| Enumeration date | 2012-12-27 |
| Last updated in NPPES | 2026-03-06 |
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 |
|---|---|---|---|
| 03010079 | Medicaid | NY | — |
Copy-ready billing details
Provider: Knickerbocker Dialysis Inc NPI: 1902142607 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 4041 DELAWARE AVE, STE 150, Tonawanda, NY, 14150
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1225030943 | Suburban Women'S Healthcare PC | Organization | Obstetrics & Gynecology Physician | Tonawanda, NY |
| 1447299573 | Millicent Trevett | Individual | Obstetrics & Gynecology Physician | Tonawanda, NY |
| 1356380489 | Elizabeth Allen | Individual | Obstetrics & Gynecology Physician | Tonawanda, NY |
| 1093810830 | Eyesight Ophthalmology P.C. | Organization | Ophthalmology Physician | Tonawanda, NY |
| 1124253273 | Nina Strollo | Individual | Obstetrics & Gynecology Physician | Tonawanda, NY |
Verify this record
Cross-check NPI 1902142607 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 type of organization is Knickerbocker Dialysis Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-06.