DAMIAN FAMILY CARE CENTER, INC. (NPI# 1104915123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104915123 |
Entity Type | Organization |
Organization Name | DAMIAN FAMILY CARE CENTER, INC. |
Other Organization Name | PROJECT SAMARITAN HEALTH SERVICES |
Practice Address |
225 E 53rd St New York NY 10022 |
Mailing Address |
138-02 Queens Blvd, 2nd Floor Briarwood NY 11435 |
Practice Telephone | 2129041721 |
Practice Fax Number | 2129041444 |
Mailing Telephone | 7186571100 |
Mailing Fax Number | 7186571870 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2018-07-10 |
Authorized Official Name | PETER GRISAFI (PRESIDENT / CEO) |
Authorized Official Telephone | 7186571100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
7003246R | NY | Ambulatory Health Care Facilities |
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
NY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01690633 | 05 |
Other Name | Type Code |
---|---|
Project Samaritan Health Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336650688 | Damian Family Care Center, Inc. | Clinic/Center | 13 Hell Gate Cir, New York, NY 10035-6602 | 2017-10-13 |
1265970834 | Damian Family Care Center, Inc. | Clinic/Center | 161 Lake Shore Rd, Lake Ronkonkoma, NY 11779-3182 | 2017-02-03 |
1619415288 | Damian Family Care Center, Inc. | Clinic/Center | 3411 Vernon Blvd, Long Island City, NY 11106-5121 | 2017-02-03 |
1154868594 | Damian Family Care Center, Inc. | Clinic/Center | 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 | 2017-01-24 |
Street Address |
225 E 53RD ST |
City | NEW YORK |
State | NY |
Zip Code | 10022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861759979 | Malissa Wynter | Social Worker | 225 E 53rd St, New York, NY 10022-4809 | 2012-04-13 |
1013191592 | Rose E. Davis | Physician Assistant | 225 E 53rd St, New York, NY 10022-4809 | 2007-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
1629697081 | Mary Kathleen Mcallister | Social Worker | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
1437616968 | Rebekah Wotman | Nurse Practitioner | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
Find all providers in zip 10022 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962999193 | Knickerbocker Dialysis Inc | Clinic/Center | 2408 Amsterdam Ave, New York, NY 10033-7320 | 2018-04-13 |
1811329162 | Avantus Renal Therapy New York, LLC | Clinic/Center | 120 E 16th St Fl 6, New York, NY 10003-2162 | 2013-08-08 |
1629310891 | Avantus Renal Therapy New York, LLC | Clinic/Center | 488 W 128th St, New York, NY 10027-2500 | 2013-03-26 |
1194014191 | River Renal Services, Inc. | Clinic/Center | 462 First Ave, Bellevue Hospital Center, Hospital Bldg 5 North, New York, NY 10016 | 2011-03-31 |
1326287566 | The New York and Presbyterian Hospital | Clinic/Center | 622 W 168th Street, 4th Floor, End Stage Renal Disease, New York, NY 10032-3720 | 2009-02-11 |
1053416859 | New York Dialysis Services, Inc. | Clinic/Center | 510-526 Avenue of Americas, New York, NY 10011 | 2006-09-14 |
1144325945 | New York Dialysis Services, Inc. | Clinic/Center | 2615 Frederick Douglas Blvd, #2621, New York, NY 10030-1705 | 2006-09-14 |
1871697649 | New York Dialysis Services, Inc. | Clinic/Center | 105 E 106th St, 1st Floor, New York, NY 10029-4623 | 2006-09-12 |
1235168436 | Lifecare Dialysis Center Inc | Clinic/Center | 221 W 61st St, New York, NY 10023-7832 | 2006-07-01 |
1265477889 | Empire State Dc Inc | Clinic/Center | 60 Haven Ave, B3, New York, NY 10032-2604 | 2006-06-18 |
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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.