ODYSSEY HOUSE, INC (NPI# 1013976976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013976976 |
| Entity Type | Organization |
| Organization Name | ODYSSEY HOUSE, INC |
| Practice Address |
219 E 121st St New York NY 10035-3018 |
| Mailing Address |
95 Pine St 17th Floor New York NY 10005-1769 |
| Practice Telephone | 2123615139 |
| Practice Fax Number | 2123615100 |
| Mailing Telephone | 2123611678 |
| Mailing Fax Number | 2123611667 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DARYL B EVERETT (CONTROLLER) |
| Authorized Official Telephone | 2123611678 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
01399760 | NY | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ODYSSEY HOUSE, INC. (UTAH) | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 |
| Street Address |
219 E 121ST ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710332911 | Damian Family Care Centers, Inc. | Clinic/Center | 219 E 121st St, New York, NY 10035-3018 | 2016-04-26 |
| 1134400625 | Cassia Lohar | Social Worker | 219 E 121st St, New York, NY 10035-3018 | 2011-08-29 |
| 1942593173 | Dorothy W. Hopton | Nurse Practitioner | 219 E 121st St, New York, NY 10035-3018 | 2011-05-20 |
| 1104126416 | Marcia Elaine Clarke | Nurse Practitioner | 219 E 121st St, New York, NY 10035-3018 | 2010-11-02 |
| 1295984474 | Elbe Babanto | Registered Nurse | 219 E 121st St, New York, NY 10035-3018 | 2008-09-12 |
| 1194974386 | Janet Lee | Registered Nurse | 219 E 121st St, New York, NY 10035-3018 | 2008-09-12 |
| 1215186499 | Edith Atuegwu | Registered Nurse | 219 E 121st St, New York, NY 10035-3018 | 2008-09-12 |
| 1992954184 | Floretta Quick | Registered Nurse | 219 E 121st St, New York, NY 10035-3018 | 2008-09-12 |
| 1306095591 | Donnabella Quijano | Registered Nurse | 219 E 121st St, New York, NY 10035-3018 | 2008-09-12 |
| 1629227749 | Thomas Mcguirk | Registered Nurse | 219 E 121st St, New York, NY 10035-3018 | 2008-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
| Find all providers in zip 10035 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1588112031 | Babak Tofighi, Md | Clinic/Center | 229 E 28th St, Apt 1b, New York, NY 10016-8507 | 2016-09-13 |
| 1699172551 | Win Medical Services,pc | Clinic/Center | 98 E Broadway # 501, New York, NY 10002-7181 | 2014-11-20 |
| 1023446978 | The Medical Offices of Occupational Health Resources P C | Clinic/Center | 1 Madison Ave # Level2b, New York, NY 10010-3603 | 2013-10-30 |
| 1114290012 | Myron I Buchman Mdpcv | Clinic/Center | 117 East 72nd St, New York, NY 10021 | 2012-02-23 |
| 1225308570 | Zov Medical Pllc | Clinic/Center | 116 E 63rd St, 1a, New York, NY 10065-7325 | 2012-01-04 |
| 1649576729 | New York Patientfirst Medical and Geriatric Quality Health Services | Clinic/Center | 41 Mott St Fl 5, New York, NY 10013-5041 | 2011-02-07 |
| 1881922821 | New York-presbyterian Hospital | Clinic/Center | 622 W. 168th St, Vc401, New York-presbyterian Hospital, New York, NY 10032 | 2009-12-03 |
| 1851554851 | Village Health Care Clinic | Clinic/Center | 121 A West 20th St, Village Diagnostic and Treatment Center, New York, NY 10011 | 2008-07-09 |
| 1609060367 | Mmc At American Red Cross Family Shelter Icahn East | Clinic/Center | 4 East 28th Street, Mmc At American Red Cross Family Shelter Icahn East, New York, NY 10016-7402 | 2007-09-05 |
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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.