Knickerbocker Dialysis Inc
NPI 1386205714 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Deer Park, NY
Knickerbocker Dialysis Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Deer Park, NY (NPI 1386205714).
Provider details
- NPI number
- 1386205714
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Winstel, Chief Accounting Officer(253) 733-4501
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
7 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
- Grand Boulevard Dialysis
- Doing business as
- Grand Boulevard Dialysis
Registry dates
- Enumerated
- 2019-06-26
- Last updated
- 2021-07-14
- Certified
- 2021-07-14
Frequently asked questions
- What is Knickerbocker Dialysis Inc's NPI number?
- Knickerbocker Dialysis Inc's National Provider Identifier (NPI) is 1386205714, 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 860 Grand Blvd, Deer Park, NY 11729-5706.
- What is Knickerbocker Dialysis Inc's phone number?
- The practice phone number listed in the NPPES registry for Knickerbocker Dialysis Inc is (631) 243-7770.
- Who is the authorized official for Knickerbocker Dialysis Inc?
- The authorized official listed on Knickerbocker Dialysis Inc's NPPES record is John Winstel, Chief Accounting Officer. 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 (1386205714) is active in the NPPES registry as of the last update on 2021-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.