DAMIAN FAMILY CARE CENTER, INC. (NPI# 1154868594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154868594 |
| Entity Type | Organization |
| Organization Name | DAMIAN FAMILY CARE CENTER, INC. |
| Other Organization Name | PROJECT SAMARITAN HEALTH SERVICES |
| Practice Address |
11711 Myrtle Ave Richmond Hill NY 11418-1751 |
| Mailing Address |
13802 Queens Blvd Briarwood NY 11435-2642 |
| Practice Telephone | 7188479233 |
| Practice Fax Number | 7188491093 |
| Mailing Telephone | 7186571100 |
| Mailing Fax Number | 7186571870 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | MR. PETER GRISAFI (PRESIDENT/ CEO) |
| Authorized Official Telephone | 7186571100 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAMIAN FAMILY CARE CENTERS, INC. |
| 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 |
| Other Name | Type Code |
|---|---|
| Project Samaritan Health Services | Other Name - Individual/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 |
| 1104915123 | Damian Family Care Center, Inc. | Clinic/Center | 225 E 53rd St, New York, NY 10022 | 2006-10-11 |
| 1619415288 | Damian Family Care Center, Inc. | Clinic/Center | 3411 Vernon Blvd, Long Island City, NY 11106-5121 | 2017-02-03 |
| Street Address |
11711 MYRTLE AVE |
| City | RICHMOND HILL |
| State | NY |
| Zip Code | 11418-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972605954 | Allan R Robertson | Counselor | 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 | 2006-09-01 |
| 1184017014 | Sindy Castro | Social Worker | 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 | 2015-03-17 |
| 1669781787 | John Venza | Social Worker | 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 | 2010-10-07 |
| 1447404173 | Radames Ortiz | Counselor | 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 | 2008-11-07 |
| 1255585980 | Francisco Saltares | Counselor | 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 | 2008-11-07 |
| 1952553216 | Angela Phillips | Counselor | 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 | 2008-10-17 |
| 1407008766 | Nancy Diaz | Counselor | 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 | 2008-10-17 |
| 1760529788 | Beth Covelli | Social Worker | 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 | 2007-01-31 |
| 1740379833 | Angela Blair | Registered Nurse | 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 | 2006-10-12 |
| 1922190164 | Jill J Farkas | Counselor | 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727494 | Beatrice Oluyemisi Owoeye | Social Worker | Jamaica Medical Center, 8900 Van Wyck Express, Jamaica, NY 11418 | 2020-03-30 |
| 1023648763 | Annette Karabolli | Specialist | 134-11 Richmond Hills, Queens, NY 11418 | 2020-01-22 |
| 1447801899 | Elina Babayeva | Occupational Therapist | 85-60 109th Street, Richmond Hill, NY 11418 | 2019-09-26 |
| 1962979351 | David Gelin | Nurse Practitioner | 134-20 87th Ave, 7f, Richmond Hill, NY 11418 | 2018-10-24 |
| 1598257339 | Levi Yechiel Grosser | Student in an Organized Health Care Education/Training Program | 134-20 Jamaica Ave, 3rd Floor Axel Building, Jamaica, NY 11418 | 2018-06-06 |
| 1124519590 | George Jonathan Deannuntis | Pharmacist | 101-21 Jamaica Ave, Richmond Hill, NY 11418 | 2018-05-22 |
| 1720583545 | Priya Katwala | Student in an Organized Health Care Education/Training Program | 8900 Van Wyvk Expy, Richmond Hill, NY 11418 | 2018-03-25 |
| 1851817670 | Lawrence Keke Luo | Chiropractor | 105-09 Jamaica Avenue, Richmond Hill, NY 11418 | 2017-08-15 |
| 1346779162 | Priya Pathadan | Nurse Practitioner | 8900 Vanwyck Expressway, Jamaica Hospital Medical Center -nicu, Jamaica, NY 11418 | 2017-06-06 |
| 1134654049 | Wqg Physical Therapy PC | Physical Therapist | 87-60 125th St, Richmond Hill, NY 11418 | 2017-04-28 |
| Find all providers in zip 11418 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972982528 | Damian Family Care Centers, Inc. | Clinic/Center | 130-20 89th Road, Richmond Hill, NY 11418 | 2015-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046940 | William F Ryan Community Health Center Inc | Clinic/Center | 154 Wadsworth Avenue, New York, NY 10033 | 2020-09-01 |
| 1518581297 | Cornerstone Family Healthcare | Clinic/Center | 290 Broadway Ste 2&3, Newburgh, NY 12550-5441 | 2020-05-29 |
| 1871128371 | Regional Health Reach Inc. | Clinic/Center | 89 Genesee St Ste 1408, Rochester, NY 14611-3201 | 2020-03-05 |
| 1184263485 | Urban Health Plan, Inc. | Clinic/Center | 271 E 138th St, Bronx, NY 10454-2909 | 2020-01-03 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1245886753 | Care for The Homeless | Clinic/Center | 91 Junius St, Brooklyn, NY 11212-8021 | 2019-08-12 |
| 1184186496 | Oda Primary Health Care Network, Inc. | Clinic/Center | 74 Wallabout Street, Brooklyn, NY 11249 | 2019-04-04 |
| 1538621289 | Ezras Choilim Health Center, Inc. | Clinic/Center | 49 Forest Rd Fl 3, Monroe, NY 10950-2923 | 2019-04-02 |
| 1134693708 | Rochester Primary Care Network, Inc | Clinic/Center | 3 Parkside Ct Bldg 1, Utica, NY 13501-5643 | 2019-01-17 |
| 1164994190 | Morris Heights Health Center, Inc. | Clinic/Center | 1 W Burnside Ave, Bronx, NY 10453-4003 | 2019-01-02 |
| Find all providers with the same taxonomy | ||||
| City | RICHMOND HILL |
| Zip Code | 11418 |
Please comment or provide details below to improve the information on DAMIAN FAMILY CARE CENTER, INC..
| 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.