HERTEL AVENUE DIALYSIS
NPI 1245763804
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Buffalo, NY
NPI Status: Active since April 10, 2017
Contact Information
699 HERTEL AVE
STE 380
BUFFALO, NY
ZIP 14207
Phone: (716) 871-4172
Fax: (716) 447-0230
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
About HERTEL AVENUE DIALYSIS
This page provides the complete NPI Profile along with additional information for Hertel Avenue Dialysis, a provider established in Buffalo, New York operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1245763804 assigned on April 2017. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Hertel Avenue Dialysis. The authorized official of this NPI record is John D Winstel (Chief Accounting Officer)
- NPI
- 1245763804
- Provider Legal Name
- LIBERTY RC INC
- Other Organization Name
- HERTEL AVENUE DIALYSIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 699 HERTEL AVE STE 380 BUFFALO, NY 14207
- Location Phone
- (716) 871-4172
- Location Fax
- (716) 447-0230
- Mailing Address
- 5200 VIRGINIA WAY L & C DEPT BRENTWOOD, TN 37027
- Mailing Phone
- (615) 341-6410
- Mailing Fax
- (716) 447-0230
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-10-2017
- Last Update Date
- 11-16-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 04945837 | MEDICAID (05) | NY |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 7 | 6 | 3 | 8 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 14 | 6 | 6 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 4 + 6 + 6 + 8 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1245763804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922039387 | MS. KIRSTEN A ANDERSON LMSW Individual | Social Worker (Clinical) | 699 HERTEL AVE BUFFALO, NY 14207 (716) 831-1977 |
| 1619985256 | SUSAN TEMPERATO LMHC Individual | Counselor (Mental Health) | 699 HERTEL AVE SUITE 350 BUFFALO, NY 14207 (716) 831-1977 |
| 1285730432 | MRS. NICOLE LYNN NORTON BS, CASAC-T Individual | Counselor (Addiction (Substance Use Disorder)) | 699 HERTEL AVE BUFFALO, NY 14207 (716) 831-1977 |
| 1912003096 | MRS. JANETTE HELEN BOTZENHART C.A.S.A.C. Individual | Counselor (Addiction (Substance Use Disorder)) | 699 HERTEL AVE SUITE 350 BUFFALO, NY 14207 (716) 831-1977 |
| 1932206596 | MRS. ROBIN BERTINI RN Individual | Registered Nurse (Administrator) | 699 HERTEL AVE SUITE 330 BUFFALO, NY 14207 (716) 834-0282 |
| 1982701561 | MRS. ELIZABETH ANNE BORK CRC, LMHS Individual | Counselor (Professional) | 699 HERTEL AVE BUFFALO, NY 14207 (716) 834-0282 |
| 1760570329 | MRS. JUDITH MARIE WAGNER MA/CRC Individual | Counselor (Professional) | 699 HERTEL AVE SUITE 350 BUFFALO, NY 14207 (716) 831-1977 |
| 1144310236 | MRS. MARION RUTH KIEKBUSCH BA.CASAC Individual | Counselor (Mental Health) | 699 HERTEL AVE SUITE 350 BUFFALO, NY 14207 (716) 831-1977 |
| 1932280625 | MS. SALLY B. MOTTALINI CASAC Individual | Counselor (Addiction (Substance Use Disorder)) | 699 HERTEL AVE BUFFALO, NY 14207 (716) 834-0282 |
| 1154402766 | HEIDI COLLINS BRAUN BS Individual | Counselor (Addiction (Substance Use Disorder)) | 699 HERTEL AVE BUFFALO, NY 14207 (716) 831-1977 |
| 1073694675 | MISS JILLIAN WARNER SR. MS Individual | Counselor (Addiction (Substance Use Disorder)) | 699 HERTEL AVE SUITE 350 BUFFALO, NY 14207 (716) 831-1977 |
| 1417031196 | ANITA EVA GOZDZIALSKI LMHC Individual | Social Worker (Clinical) | 699 HERTEL AVE 350 BUFFALO, NY 14207 (716) 831-1977 |
| 1457424376 | HEIDI L HOFFMAN R & R COUNSELOR I Individual | Counselor (Mental Health) | 699 HERTEL AVE BUFFALO, NY 14207 (716) 834-0282 |
| 1487720371 | MR. JOEL DAVID LESSES MS Individual | Counselor (Mental Health) | 699 HERTEL AVE BUFFALO, NY 14207 (716) 834-0282 |
| 1396865044 | MS. SARAH FIELD SONNENBERG BSW Individual | Counselor (Addiction (Substance Use Disorder)) | 699 HERTEL AVE BUFFALO, NY 14207 (716) 831-1977 |
| 1083804835 | MS. ERICA M KING MSW Individual | Social Worker (Clinical) | 699 HERTEL AVE SUITE 350 BUFFALO, NY 14207 (716) 831-1977 |
| 1407048622 | BONNIE NICOLE DRAKE MS Individual | Counselor (Mental Health) | 699 HERTEL AVE BUFFALO, NY 14207 (716) 831-1977 |
| 1467624700 | MR. CHARLES F. BUSHEN JR. MSW Individual | Counselor (Addiction (Substance Use Disorder)) | 699 HERTEL AVE SUITE 350 BUFFALO, NY 14207 (716) 831-1977 |
| 1447412846 | MS. JOHANNA ROSE MARTINEZ M.S.W Individual | Social Worker | 699 HERTEL AVE BUFFALO, NY 14207 (716) 831-1977 |
| 1447412689 | JUANITA SHAWNETTE LOKEY Individual | Counselor (Addiction (Substance Use Disorder)) | 699 HERTEL AVE SUITE 350 BUFFALO, NY 14207 (716) 834-0282 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245763804, enumerated in the NPI registry as an "organization" on April 10, 2017
The provider is located at 699 Hertel Ave Ste 380 Buffalo, Ny 14207 and the phone number is (716) 871-4172
This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 10, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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