EAST GREENBUSH DIALYSIS
NPI 1760836126
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in East Greenbush, NY
Overall Rating: 3 out of 5 stars
NPI Status: Active since April 21, 2016
Contact Information
583 COLUMBIA TPKE
EAST GREENBUSH, NY
ZIP 12061
Phone: (518) 477-4370
Fax: (518) 477-4319
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 33D0912190
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 03-26-2027
About EAST GREENBUSH DIALYSIS
This page provides the complete NPI Profile along with additional information for East Greenbush Dialysis, a provider established in East Greenbush, 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 1760836126 assigned on April 2016. The practitioner's primary taxonomy code is 261QE0700X with license number 1059202R (NY). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as East Greenbush Dialysis. The authorized official of this NPI record is Edward Fournier Rn,cnn (Director Of Dialysis Services)
- NPI
- 1760836126
- Provider Legal Name
- GREEN MANOR DIALYSIS CENTER LLC
- Other Organization Name
- EAST GREENBUSH DIALYSIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 583 COLUMBIA TPKE EAST GREENBUSH, NY 12061
- Location Phone
- (518) 477-4370
- Location Fax
- (518) 477-4319
- Mailing Address
- 583 COLUMBIA TPKE EAST GREENBUSH, NY 12061
- Mailing Phone
- (518) 477-4370
- Mailing Fax
- (518) 477-4319
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-21-2016
- Last Update Date
- 05-24-2016
- Code Navigator
According to the Dialysis Facility Compare program data, East Greenbush Dialysis has an average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 3 out of 5 stars.
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
- License No.
- 1059202R
- License State
- NY
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 |
|---|---|---|---|
| 332562 | MEDICARE OSCAR/CERTIFICATION (06) | NY | |
| 01687094 | MEDICAID (05) | NY |
Dialysis Facility Compare Information
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D0912190
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- July 21, 2015
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. VINOD K. GUPTA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to East Greenbush Dialysis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for EAST GREENBUSH DIALYSIS
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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 | 7 | 6 | 0 | 8 | 3 | 6 | 1 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 16 | 3 | 12 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 6 + 3 + 1 + 2 + 1 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1760836126 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215464987 | DIALYSIS CLINIC INC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 583 COLUMBIA TPKE EAST GREENBUSH, NY 12061 (518) 477-4217 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760836126, enumerated in the NPI registry as an "organization" on April 21, 2016
The provider is located at 583 Columbia Tpke East Greenbush, Ny 12061 and the phone number is (518) 477-4370
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.
The provider's CLIA number is 33D0912190 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
The Overall Quality Rating of this dialysis facility is 3 out of 5 stars which is average when compared to similar facilities. The overall quality rating is calculated using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
This NPI record was last updated on April 21, 2016. 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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