DAMIAN FAMILY CARE CENTERS, INC. (NPI# 1003294307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003294307 |
| Entity Type | Organization |
| Organization Name | DAMIAN FAMILY CARE CENTERS, INC. |
| Practice Address |
13802 Queens Blvd 2nd Floor Briarwood NY 11435-2642 |
| Practice Telephone | 7186571100 |
| Practice Fax Number | 7186571870 |
| Mailing Telephone | 7186571100 |
| Mailing Fax Number | 7186571870 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | JOHN CHUE (CFO) |
| Authorized Official Telephone | 7186571100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7003246R | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477909349 | Damian Family Care Centers, Inc. | Clinic/Center | 599 Ralph Ave, Brooklyn, NY 11233 | 2016-05-10 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1972982528 | Damian Family Care Centers, Inc. | Clinic/Center | 130-20 89th Road, Richmond Hill, NY 11418 | 2015-05-28 |
| 1346629995 | Damian Family Care Centers, Inc. | Clinic/Center | 216 Fox Hollow Road, Rhinebeck, NY 12572 | 2015-05-28 |
| 1083093637 | Damian Family Care Centers, Inc. | Clinic/Center | 500 8th Avenue, 3rd Floor, New York, NY 10018 | 2015-05-28 |
| 1104908557 | Damian Family Care Centers, Inc. | Clinic/Center | 1600 Macombs Road, Bronx, NY 10452 | 2006-10-19 |
| 1447332697 | Damian Family Care Centers, Inc. | Clinic/Center | 751 Briggs Highway, Ellenville, NY 12428 | 2006-10-19 |
| 1508955592 | Damian Family Care Centers, Inc. | Clinic/Center | 137-50 Jamaica Avenue, Jamaica, NY 11435 | 2006-10-11 |
| 1710332911 | Damian Family Care Centers, Inc. | Clinic/Center | 219 E 121st St, New York, NY 10035-3018 | 2016-04-26 |
| 1992193874 | Damian Family Care Centers, Inc. | Clinic/Center | 137-50 Jamaica Avenue, Jamaica, NY 11435 | 2014-12-31 |
| Street Address |
13802 QUEENS BLVD 2ND FLOOR |
| City | BRIARWOOD |
| State | NY |
| Zip Code | 11435-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417594730 | Ruth Lee Hernandez | Licensed Practical Nurse | 13802 Queens Blvd, Briarwood, NY 11435-2665 | 2019-12-05 |
| 1376189654 | Cheryl Ann Brown | Licensed Practical Nurse | 13802 Queens Blvd, Briarwood, NY 11435-2665 | 2019-11-21 |
| 1497230643 | Sapphire Elissa Noel | Registered Nurse | 13802 Queens Blvd, Briarwood, NY 11435-2642 | 2018-10-03 |
| 1851873947 | Maria Lalaine Gonzales Santos | Registered Nurse | 13802 Queens Blvd, Briarwood, NY 11435-2642 | 2018-09-05 |
| 1750892998 | Sharisse Washington | Nurse Practitioner | 13802 Queens Blvd, Briarwood, NY 11435-2642 | 2017-10-16 |
| 1851825459 | Anissa Alli | Social Worker | 13802 Queens Blvd, Briarwood, NY 11435-2642 | 2017-04-20 |
| 1346774874 | Elizabeth King | Registered Nurse | 13802 Queens Blvd, Briarwood, NY 11435-2642 | 2017-04-11 |
| 1811434012 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 13802 Queens Blvd, Briarwood, NY 11435-2642 | 2017-01-25 |
| 1245631423 | Jessica Loftus | Counselor | 13802 Queens Blvd, Briarwood, NY 11435-2642 | 2014-09-08 |
| 1891836458 | Naomi Charlotte Frumess | Nurse Practitioner | 13802 Queens Blvd, Briarwood, NY 11435-2642 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1871114892 | Alternative Care Occupational Therapy, PC | Occupational Therapist | 149-16 Jamaica Ave, Jamaica, NY 11435 | 2020-04-30 |
| 1831737311 | Aminat Adams | Registered Nurse | 10753 Remitown Street, Jamaica, NY 11435 | 2019-12-16 |
| 1376180349 | Isabella Herold | Dietitian, Registered | 97-04 Sutphin Boulevard, Jamaica, NY 11435 | 2019-12-09 |
| 1235774654 | Angela Rose Torriero | Occupational Therapist | 90-36 150th Street, Jamaica, Queens, NY 11435 | 2019-11-08 |
| 1396386009 | Alexandra Mikyung Kim | Registered Nurse | 90-27 Sutphin Boulevard, Jamaica, NY 11435 | 2019-10-03 |
| 1043782097 | Louis E Krigger | Counselor | Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 | 2018-12-31 |
| 1407326093 | Syretta Henry | Social Worker | 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 | 2018-11-27 |
| 1972083277 | Debra Witherspoon-benders | Licensed Vocational Nurse | Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 | 2018-08-16 |
| 1982182895 | Emmanuel Oszwa Odigie | Respite Care | 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 | 2018-08-02 |
| Find all providers in zip 11435 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.