KINGS HARBOR DIALYSIS CENTER – NPI #1255417275
Clinic/Center

KINGS HARBOR DIALYSIS CENTER is an AHC clinic located in BRONX, NY. NPPES has assigned the NPI number 1255417275 to KINGS HARBOR DIALYSIS CENTER on October 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KINGS HARBOR DIALYSIS CENTER” is a dba name, the actual legal business name for this organization is KINGS HARBOR HEALTH SERVICES LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 6 years ago on Jan 02, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KINGS HARBOR DIALYSIS CENTER below.

NPI Profile for
KINGS HARBOR HEALTH SERVICES LLC

NPI Number
1255417275
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KINGS HARBOR HEALTH SERVICES LLC
Doing Business As (dba): KINGS HARBOR DIALYSIS CENTER
Primary location
2020 E GUN HILL RD
BRONX, NY 10469
Phone: (718) 320-1335 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MORRIS TENENBAUM
MEMBER
Phone: (718) 320-1335
Updated
Certification Date
Jan 02, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KINGS HARBOR DIALYSIS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02595182
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)		 NY 7000268R

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.