DAYTOP VILLAGE, INC (NPI# 1154442879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154442879 |
| Entity Type | Organization |
| Organization Name | DAYTOP VILLAGE, INC |
| Practice Address |
316 Beach 65th St Far Rockaway NY 11692-1425 |
| Mailing Address |
54 W 40th St New York NY 10018-2602 |
| Practice Telephone | 7184743800 |
| Practice Fax Number | 7184747821 |
| Mailing Telephone | 2123546000 |
| Mailing Fax Number | 2123823899 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN WINSTON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2123546000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEPT OF HEALTH ART.28 CER | 7002121R | 01 |
| NY | 00659687 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437270683 | Daytop Village, Inc | Clinic/Center | 246 Central Park Ave, Hartsdale, NY 10530 | 2007-04-03 |
| 1235353442 | Daytop Village, Inc | Clinic/Center | 91-01 Merrick Blvd, Jamaica, NY 11432 | 2007-04-12 |
| 1972726404 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 248 Fox Hollow Road, Rhinebeck, NY 12572 | 2007-04-11 |
| 1386766970 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 44 Springwood Dr, Rhinebeck, NY 12572 | 2007-04-04 |
| 1912029497 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2007-04-04 |
| 1174644397 | Daytop Village, Inc | Clinic/Center | 401 State St, Brooklyn, NY 11217-1706 | 2007-04-03 |
| 1952422297 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 4504 Route 55, Swan Lake, NY 12783 | 2007-04-03 |
| Street Address |
316 BEACH 65TH ST |
| City | FAR ROCKAWAY |
| State | NY |
| Zip Code | 11692-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265449912 | Diana Burgrave | Social Worker | 316 Beach 65th St, Daytop Village Inc, Far Rockaway, NY 11692 | 2006-08-02 |
| 1730431636 | Alexander Shilov | Registered Nurse | 316 Beach 65th St, Far Rockaway, NY 11692-1425 | 2012-10-03 |
| 1760730998 | Felecia Rushae Gordon | Registered Nurse | 316 Beach 65th St, Far Rockaway, NY 11692-1425 | 2012-08-20 |
| 1972862415 | Karlene Marie Dunnan | Licensed Practical Nurse | 316 Beach 65th St, Far Rockaway, NY 11692-1425 | 2012-05-03 |
| 1447517248 | Ranjeet Singh-moon | Licensed Practical Nurse | 316 Beach 65th St, Far Rockaway, NY 11692-1425 | 2012-04-18 |
| 1881964591 | Suzanne Elizabeth Corbett | Registered Nurse | 316 Beach 65th St, Far Rockaway, NY 11692-1425 | 2012-01-11 |
| 1437439106 | Tanola Tamara Ennis | Registered Nurse | 316 Beach 65th St, Far Rockaway, NY 11692-1425 | 2011-08-25 |
| 1396023040 | Candice Lara | Licensed Practical Nurse | 316 Beach 65th St, Far Rockaway, NY 11692-1425 | 2011-07-29 |
| 1275824666 | Kamelle Natasha Neckles | Licensed Practical Nurse | 316 Beach 65th St, Far Rockaway, NY 11692-1425 | 2011-04-20 |
| 1073831491 | Paula Boberg | Registered Nurse | 316 Beach 65th St, Far Rockaway, NY 11692-1425 | 2010-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209528 | Mary Nwalozie | Licensed Practical Nurse | 69 22 Almeda Ave, Arverne, NY 11692 | 2018-09-21 |
| 1083117592 | Louise Christine Dougherty I | Registered Nurse | 6412 Ocean Ave North, Arverne, NY 11692 | 2018-03-10 |
| 1508384397 | Gineth Nelson | Counselor | 6944 De Cost Avenue, Arverne, NY 11692 | 2017-09-01 |
| 1871028217 | Patricia D Molloy | Licensed Practical Nurse | 174 Saltaire Lane, Arverne, NY 11692 | 2017-04-24 |
| 1265984934 | Natacha Jean Baptiste | Licensed Practical Nurse | 449 Beach 67th St, Apt 2, Arverne, NY 11692 | 2016-10-28 |
| 1508224320 | Anamaria Tapia | Home Health | 6518 Bayfield Avenue, Arverne, NY 11692 | 2016-02-08 |
| 1396160065 | Glynn Carbonaro | Registered Nurse | 745 Beach 79th St, Far Rockaway, NY 11692 | 2014-03-04 |
| 1558605675 | Reginald Nelson | Specialist | 363 Beach 54h St, 4e, Far-rockaway, NY 11692 | 2012-11-15 |
| 1306109616 | Felecia Stotts | Specialist | 106 Beach 59st, Apt 101, Far Rockaway, NY 11692 | 2012-06-21 |
| 1760750608 | Dolma Mitchell | Licensed Practical Nurse | 533 Beach 66 Street, Apt#2, Arverne, NY 11692 | 2011-12-07 |
| Find all providers in zip 11692 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
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| 1326506064 | Mountainside - Huntington | Substance Abuse Rehabilitation Facility | 141 E Main St Ste 2, Huntington, NY 11743-2850 | 2019-03-12 |
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1578030797 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave, Albany, NY 12206-2408 | 2018-10-25 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1518491174 | Aaron Smith | Substance Abuse Rehabilitation Facility | 460 Brielle Ave, Building H, Staten Island, NY 10314 | 2017-04-20 |
| 1346772019 | Catholic Charities of The Diocese of Rockville Centre | Substance Abuse Rehabilitation Facility | 30 Carlough Rd Ste C, Bohemia, NY 11716-2919 | 2017-03-31 |
| Find all providers with the same taxonomy | ||||
| City | FAR ROCKAWAY |
| Zip Code | 11692 |
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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.