Knickerbocker Dialysis Inc
NPI 1366876948 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Staten Island, NY
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Knickerbocker Dialysis Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Staten Island, NY (NPI 1366876948).
Provider details
- NPI number
- 1366876948
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp, Licensure & Certification(615) 341-6641
- License
- 7000272R (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
12 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
Other names (DBA / former)
- Doing business as
- Staten Island Dialysis Center
- Doing business as
- Staten Island Dialysis Center
Registry dates
- Enumerated
- 2013-08-30
- Last updated
- 2024-02-29
- Certified
- 2024-02-29
Frequently asked questions
- What is Knickerbocker Dialysis Inc's NPI number?
- Knickerbocker Dialysis Inc's National Provider Identifier (NPI) is 1366876948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Knickerbocker Dialysis Inc?
- Knickerbocker Dialysis Inc is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Knickerbocker Dialysis Inc located?
- Knickerbocker Dialysis Inc's practice location on file with NPPES is 1139 Hylan Blvd, Staten Island, NY 10305-2061.
- What is Knickerbocker Dialysis Inc's phone number?
- The practice phone number listed in the NPPES registry for Knickerbocker Dialysis Inc is (718) 816-4913.
- Does Knickerbocker Dialysis Inc accept Medicare?
- Knickerbocker Dialysis Inc 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 Knickerbocker Dialysis Inc?
- The authorized official listed on Knickerbocker Dialysis Inc's NPPES record is Samuel Wey, Vp, Licensure & Certification. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Knickerbocker Dialysis Inc's NPI active?
- Yes — Knickerbocker Dialysis Inc's NPI (1366876948) is active in the NPPES registry as of the last update on 2024-02-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.