DAMIAN FAMILY CARE CENTERS, INC. (NPI# 1447332697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447332697 |
Entity Type | Organization |
Organization Name | DAMIAN FAMILY CARE CENTERS, INC. |
Other Organization Name | PROJECT SAMARITAN HEALTH SERVICES |
Practice Address |
751 Briggs Highway Ellenville NY 12428 |
Mailing Address |
138-02 Queens Boulevard, 2nd Floor Briarwood NY 11435 |
Practice Telephone | 7185387000 |
Practice Fax Number | 7185382805 |
Mailing Telephone | 7186571100 |
Mailing Fax Number | 7186571870 |
Enumeration Date | 2006-10-19 |
Last Update Date | 2016-10-17 |
Authorized Official Name | JOHN CHUE (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 7186571100 |
Authorized Official Credential | CPA |
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 |
---|---|---|---|---|
1477909349 | Damian Family Care Centers, Inc. | Clinic/Center | 599 Ralph Ave, Brooklyn, NY 11233 | 2016-05-10 |
1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
1972982528 | Damian Family Care Centers, Inc. | Clinic/Center | 130-20 89th Road, Richmond Hill, NY 11418 | 2015-05-28 |
1346629995 | Damian Family Care Centers, Inc. | Clinic/Center | 216 Fox Hollow Road, Rhinebeck, NY 12572 | 2015-05-28 |
1083093637 | Damian Family Care Centers, Inc. | Clinic/Center | 500 8th Avenue, 3rd Floor, New York, NY 10018 | 2015-05-28 |
1104908557 | Damian Family Care Centers, Inc. | Clinic/Center | 1600 Macombs Road, Bronx, NY 10452 | 2006-10-19 |
1508955592 | Damian Family Care Centers, Inc. | Clinic/Center | 137-50 Jamaica Avenue, Jamaica, NY 11435 | 2006-10-11 |
1710332911 | Damian Family Care Centers, Inc. | Clinic/Center | 219 E 121st St, New York, NY 10035-3018 | 2016-04-26 |
1003294307 | Damian Family Care Centers, Inc. | Clinic/Center | 13802 Queens Blvd, 2nd Floor, Briarwood, NY 11435-2642 | 2015-05-07 |
1992193874 | Damian Family Care Centers, Inc. | Clinic/Center | 137-50 Jamaica Avenue, Jamaica, NY 11435 | 2014-12-31 |
Street Address |
751 BRIGGS HIGHWAY |
City | ELLENVILLE |
State | NY |
Zip Code | 12428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689111734 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 751 Briggs Highway, Ellenville, NY 12428 | 2017-01-27 |
1417494568 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 751 Briggs Highway, Ellenville, NY 12428 | 2017-01-27 |
1033538772 | Maria Nemelivsky | Dentist | 751 Briggs Highway, Ellenville, NY 12428-5501 | 2014-04-09 |
1306121603 | Rafaela St. Hill | Dentist | 751 Briggs Highway, Ellenville, NY 12428 | 2011-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649789900 | Finding My Solutions LLC | Clinic/Center | 4 Glenwood Drive, Ellenville, NY 12428 | 2017-09-29 |
1356864128 | Joseph and Elena Tompkins | Taxi | 73 Center Street, 73 Center Street - Po Box 222, Ellenville, NY 12428 | 2017-07-24 |
1598130296 | Joyce Valdez | Licensed Practical Nurse | 80 Wintish Road, Ellenville, NY 12428 | 2015-12-07 |
1386943389 | Angela Dinozzi | Social Worker | 83 North Main Street, Ellenville, NY 12428 | 2011-03-17 |
1396984001 | Krystyna W. Slosarska | Dentist | 55 Center Street, Ellenville, NY 12428 | 2009-02-19 |
1063676336 | Jessica J Richmond | Licensed Practical Nurse | 11 Rear Chapel St, Ellenville, NY 12428 | 2008-07-15 |
1316032964 | Julie S Lonstein | Counselor | 1 Terrace Hill, Ellenville, NY 12428 | 2006-10-03 |
1871687384 | Walter Leonard Sperling | Internal Medicine | 60 Center Street, Ellenville, NY 12428 | 2006-10-02 |
1770537623 | Sang Eun Lee | Physical Therapist | 10 Healthy Way, Ellenville, NY 12428 | 2006-05-22 |
1245777390 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 767 Cape Rd, Ellenville, NY 12428 | 2017-01-27 |
Find all providers in zip 12428 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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Find all providers with the same taxonomy |
City | ELLENVILLE |
Zip Code | 12428 |
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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.