Queens Replacement LLC
NPI 1548251218 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Kew Gardens, NY
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Queens Replacement LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Kew Gardens, NY (NPI 1548251218).
Provider details
- NPI number
- 1548251218
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dominic Licciardi, Administrator(718) 987-5942
- License
- 7003264R (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
20 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
- Kew Gardens Dialysis Center
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2013-09-30
Frequently asked questions
- What is Queens Replacement LLC's NPI number?
- Queens Replacement LLC's National Provider Identifier (NPI) is 1548251218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Queens Replacement LLC?
- Queens Replacement LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Queens Replacement LLC located?
- Queens Replacement LLC's practice location on file with NPPES is 12046 Queens Blvd, Kew Gardens, NY 11415-1204.
- What is Queens Replacement LLC's phone number?
- The practice phone number listed in the NPPES registry for Queens Replacement LLC is (718) 793-3341.
- Does Queens Replacement LLC accept Medicare?
- Queens Replacement 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 Queens Replacement LLC?
- The authorized official listed on Queens Replacement LLC's NPPES record is Dominic Licciardi, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Queens Replacement LLC's NPI active?
- Yes — Queens Replacement LLC's NPI (1548251218) is active in the NPPES registry as of the last update on 2013-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.