SAMARITAN DAYTOP VILLAGE, INC. (NPI# 1235501313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235501313 |
| Entity Type | Organization |
| Organization Name | SAMARITAN DAYTOP VILLAGE, INC. |
| Practice Address |
477 Willis Ave Bronx NY 10455-4015 |
| Mailing Address |
138-02 Queens Blvd Briarwood NY 11435 |
| Practice Telephone | 7182924640 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | CHARLES MADRAY (VP OF HEALTH SERVICES & COMM. BASED) |
| Authorized Official Telephone | 7182062000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00245309 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629440888 | Samaritan Daytop Village, Inc. | Clinic/Center | 2780 3rd Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1093187254 | Samaritan Daytop Village, Inc. | Clinic/Center | 2778 Third Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1982878757 | Samaritan Daytop Village, Inc. | Clinic/Center | 14401 Jamaica Ave, Jamaica, NY 11435-3601 | 2008-04-14 |
| 1134240344 | Samaritan Daytop Village, Inc. | Clinic/Center | 620 Route 303, Blauvelt, NY 10913-1170 | 2007-04-03 |
| 1548381767 | Samaritan Daytop Village, Inc. | Clinic/Center | 1915 Forest Ave, Staten Island, NY 10303-2127 | 2007-04-03 |
| 1205957297 | Samaritan Daytop Village, Inc. | Clinic/Center | 900 Arnow Avenue, Bronx, NY 10469 | 2007-04-03 |
| 1831210038 | Samaritan Daytop Village, Inc. | Clinic/Center | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2007-04-03 |
| 1396822839 | Samaritan Daytop Village, Inc. | Substance Abuse Rehabilitation Facility | 13020 89th Rd, Richmond Hill, NY 11418-3301 | 2006-11-01 |
| 1245272772 | Samaritan Daytop Village, Inc. | Clinic/Center | 368 E 148th St, Bronx, NY 10455-4005 | 2006-06-11 |
| 1417571639 | Samaritan Daytop Village, Inc. | Clinic/Center | 3050 White Plains Road, Bronx, NY 10467 | 2020-06-03 |
| Street Address |
477 WILLIS AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10455-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942305685 | Ill Sung Na | Family Medicine | 477 Willis Ave, Narco Freedom, Bronx, NY 10455-4015 | 2006-09-14 |
| 1497352702 | Shahara Flowers | Registered Nurse | 477 Willis Ave, Bronx, NY 10455-4015 | 2020-10-08 |
| 1265802771 | Kristy Rodriguez | Counselor | 477 Willis Ave, Bronx, NY 10455-4015 | 2015-09-28 |
| 1114305406 | Narco Freedom Inc. | Clinic/Center | 477 Willis Ave, Bronx, NY 10455-4015 | 2015-05-07 |
| 1477650588 | Jean Denis | Internal Medicine | 477 Willis Ave, Bronx, NY 10455-4015 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946331 | Nutrished Dietitian Nutrition Solutions, P.C. | Dietitian, Registered | 2825 Third Ave Suite #301, Bronx, NY 10455 | 2020-09-15 |
| 1538641907 | Michelle Flores | Pharmacy Technician | 754 E 151 St, Bronx, NY 10455 | 2018-09-03 |
| 1669973285 | Uhc Adult Day Program & Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 368, East 149th Street Suite 3a, Bronx, NY 10455 | 2018-02-28 |
| 1578061206 | Ursula Ma Stafford | Case Management | 391 East 149 St, Suite 417, Bronx, NY 10455 | 2018-01-29 |
| 1942714506 | Chantal J George | Case Manager/Care Coordinator | 391 East 149th Street, 417, Bronx, NY 10455 | 2017-11-18 |
| 1598295800 | Sonrisa Corp | Pharmacy | 755b East 149th St, Bronx, NY 10455 | 2017-06-19 |
| 1962931378 | Josepjh Appau | Licensed Practical Nurse | 512 Jackson Avenue, Apt 2a, Bronx, NY 10455 | 2017-06-08 |
| 1295187664 | Leticia Robles | Social Worker | 480 Concord Avenue Apt#3j, Bronx, NY 10455 | 2016-07-08 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
| Find all providers in zip 10455 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073722286 | Concourse Medical Center Inc | Clinic/Center | 880 Morris Ave, Bronx, NY 10451-3412 | 2007-05-22 |
| 1801428222 | Bronxcare Health System | Clinic/Center | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2020-02-05 |
| 1316301294 | Montefiore Medical Center | Clinic/Center | 2058 Jerome Ave, Bronx, NY 10453-1817 | 2016-04-07 |
| 1891154886 | Montefiore Medical Center | Clinic/Center | 1510 Waters Pl, Bronx, NY 10461-2700 | 2016-02-18 |
| 1114305406 | Narco Freedom Inc. | Clinic/Center | 477 Willis Ave, Bronx, NY 10455-4015 | 2015-05-07 |
| 1285947754 | Albert Einstein College of Medicine of Yeshiva University | Clinic/Center | 804 E 138th St, Bronx, NY 10454-1902 | 2010-07-26 |
| 1891837910 | Yeshiva University | Clinic/Center | 1500 Waters Place, Bpc Betty Parker Bldg Wd 20 6th Fl, Bronx, NY 10461 | 2007-02-13 |
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|---|---|---|---|---|
| 1770951204 | Beth Israel Medical Center | Clinic/Center | 160 Water St Fl 24, New York, NY 10038-4922 | 2015-09-15 |
| 1770885451 | The Guidance Center Cdtc | Clinic/Center | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2010-12-01 |
| 1265665954 | Northpointe Council Inc | Clinic/Center | 1001 11th Street, Niagra Falls, NY 14301 | 2009-08-27 |
| 1427125632 | Ses Operating Corp | Clinic/Center | 2367 -69 Second Ave, New York, NY 10035-3108 | 2006-11-30 |
| 1396843967 | Gramaercy Park Medical Group | Clinic/Center | 253 3rd Ave # 55, New York, NY 10010-7401 | 2006-09-20 |
| 1891897781 | County of Suffolk | Clinic/Center | 689 Jericho Tpke, Huntington Station, NY 11746-7501 | 2006-09-02 |
| 1669574547 | County of Suffolk | Clinic/Center | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2006-09-02 |
| 1083618672 | Buffalo Beacon Corporation | Clinic/Center | 3354 Sheridan Dr, Amherst, NY 14226-1439 | 2005-06-10 |
| 1437798824 | Sisters of Charity Hospital of Buffalo New York | Clinic/Center | 158 Holden St, Buffalo, NY 14214-2226 | 2020-01-02 |
| 1679050116 | Nancy Arroyo | Clinic/Center | 311 W 35th St, New York, NY 10001-1701 | 2018-07-27 |
| Find all providers with the same taxonomy | ||||
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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.