Main Street Dialysis Center LLC
NPI 1306203609 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Freeport, NY
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Main Street Dialysis Center LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Freeport, NY (NPI 1306203609).
Provider details
- NPI number
- 1306203609
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Iheanyichukwu Aja-Onu, Member(516) 771-7112
- License
- 052083-B (NY)
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
10 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
- 2016-01-19
- Last updated
- 2023-05-04
- Certified
- 2023-05-04
Frequently asked questions
- What is Main Street Dialysis Center LLC's NPI number?
- Main Street Dialysis Center LLC's National Provider Identifier (NPI) is 1306203609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Dialysis Center LLC?
- Main Street Dialysis Center LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Main Street Dialysis Center LLC located?
- Main Street Dialysis Center LLC's practice location on file with NPPES is 3 N Main St, Freeport, NY 11520-2218.
- What is Main Street Dialysis Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Main Street Dialysis Center LLC is (516) 825-2076.
- Does Main Street Dialysis Center LLC accept Medicare?
- Main Street Dialysis Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Main Street Dialysis Center LLC?
- The authorized official listed on Main Street Dialysis Center LLC's NPPES record is Iheanyichukwu Aja-Onu, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Dialysis Center LLC's NPI active?
- Yes — Main Street Dialysis Center LLC's NPI (1306203609) is active in the NPPES registry as of the last update on 2023-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.