Knickerbocker Dialysis Inc
NPI 1679148084 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Riverhead, NY
Knickerbocker Dialysis Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Riverhead, NY (NPI 1679148084).
Provider details
- NPI number
- 1679148084
- 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
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
5 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
- Peconic Bay Dialysis
- Doing business as
- Peconic Bay Dialysis
Registry dates
- Enumerated
- 2021-05-26
- Last updated
- 2023-12-29
- Certified
- 2023-12-29
Frequently asked questions
- What is Knickerbocker Dialysis Inc's NPI number?
- Knickerbocker Dialysis Inc's National Provider Identifier (NPI) is 1679148084, 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 700 Old Country Rd, Riverhead, NY 11901-2129.
- What is Knickerbocker Dialysis Inc's phone number?
- The practice phone number listed in the NPPES registry for Knickerbocker Dialysis Inc is (631) 208-0282.
- 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 (1679148084) is active in the NPPES registry as of the last update on 2023-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.