Kew Gardens Dialysis Center
NPI 1295931624 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Kew Gardens, NY
Kew Gardens Dialysis Center is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Kew Gardens, NY (NPI 1295931624).
Provider details
- NPI number
- 1295931624
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dominic Licciardi, Coo(718) 987-5942
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2013-04-03
Frequently asked questions
- What is Kew Gardens Dialysis Center's NPI number?
- Kew Gardens Dialysis Center's National Provider Identifier (NPI) is 1295931624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kew Gardens Dialysis Center?
- Kew Gardens Dialysis Center is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kew Gardens Dialysis Center located?
- Kew Gardens Dialysis Center's practice location on file with NPPES is 12046 Queens Blvd, Kew Gardens, NY 11415-1204.
- What is Kew Gardens Dialysis Center's phone number?
- The practice phone number listed in the NPPES registry for Kew Gardens Dialysis Center is (718) 793-3341.
- Who is the authorized official for Kew Gardens Dialysis Center?
- The authorized official listed on Kew Gardens Dialysis Center's NPPES record is Dominic Licciardi, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kew Gardens Dialysis Center's NPI active?
- Yes — Kew Gardens Dialysis Center's NPI (1295931624) is active in the NPPES registry as of the last update on 2013-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.