BUSHWICK CENTER FOR RENAL DIALYSIS, LLC – NPI #1811338460
Clinic/Center

BUSHWICK CENTER FOR RENAL DIALYSIS, LLC is an AHC clinic located in BROOKLYN, NY. NPPES has assigned the NPI number 1811338460 to BUSHWICK CENTER FOR RENAL DIALYSIS, LLC on July 11, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 11 years ago on Jan 13, 2015. 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 BUSHWICK CENTER FOR RENAL DIALYSIS, LLC below.

NPI Profile for
BUSHWICK CENTER FOR RENAL DIALYSIS, LLC

NPI Number
1811338460
Enumeration Date

(about 13 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
BUSHWICK CENTER FOR RENAL DIALYSIS, LLC
Primary location
50 SHEFFIELD AVE
BROOKLYN, NY 11207-2420
Phone: (718) 345-2273 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACK MEISELS
COO
Phone: (718) 345-2273
Updated
Identifiers

Identifiers for BUSHWICK CENTER FOR RENAL DIALYSIS, LLC

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
MEDICAIDNY03967668
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)

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.