OrganizationActive
Vestal Healthcare, LLC
NPI 1447656756 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bay Shore, NY
Provider details
- NPI number
- 1447656756
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Caputo, Member(206) 816-6505
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
929 Sunrise Hwy
Bay Shore, NY 11706-5907
Phone: (631) 224-8500
Fax: (631) 224-8503
Approximate (ZIP-level) locationGet directions
Mailing address
929 Sunrise Hwy
Bay Shore, NY 11706-5907
Other names (DBA / former)
- Doing business as
- Long Island Bay Shore Dialysis Center
Registry dates
- Enumerated
- 2014-11-13
- Last updated
- 2016-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.