SAMARITAN DAYTOP VILLAGE, INC. (NPI# 1831210038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831210038 |
| Entity Type | Organization |
| Organization Name | SAMARITAN DAYTOP VILLAGE, INC. |
| Other Organization Name | DAYTOP VILLAGE, INC. |
| Practice Address |
2075 New York Ave Huntington Station NY 11746-3238 |
| Mailing Address |
54 W 40th St New York NY 10018-2602 |
| Practice Telephone | 6313517112 |
| Practice Fax Number | 6313510862 |
| Mailing Telephone | 2123546000 |
| Mailing Fax Number | 2123823899 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-04-29 |
| Authorized Official Name | CHARLES MADRAY (VP OF HEALTH SERVICES & COMMUNITY B) |
| Authorized Official Telephone | 7182062000 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEPT OF HEALTH ART 28 CER | 7002121R | 01 |
| NY | 00659687 | 05 |
| Other Name | Type Code |
|---|---|
| Daytop Village, Inc. | Former Legal Business Name - Organization |
| 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 |
| 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 |
| 1154795235 | Samaritan Daytop Village, Inc. | Clinic/Center | 250 Grand Concourse, Bronx, NY 10451-5430 | 2015-11-30 |
| Street Address |
2075 NEW YORK AVE |
| City | HUNTINGTON STATION |
| State | NY |
| Zip Code | 11746-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782766 | Corine Francesca Patti | Social Worker | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2018-12-19 |
| 1811499189 | Maura Dillon | Social Worker | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2018-03-02 |
| 1699119305 | Patrice Michele Levy | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2013-04-24 |
| 1518230127 | Melissa O'neill | Art Therapist | 2075 New York Ave, Huntington Station, NY 11746 | 2012-02-13 |
| 1679711303 | Colleen M. Sullivan | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2009-02-03 |
| 1255578647 | David M. Vizzini | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2009-01-07 |
| 1770761181 | Mayra Emilia Santana | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2008-02-07 |
| 1023296431 | Thomas S. Figueroa Sr. | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2008-02-07 |
| 1982810917 | Melanie Rubin | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2007-05-15 |
| 1720290323 | Liberato Derosa | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044170 | Gail Sackett | Registered Nurse | James E. Allen Learning Center, 762 Deer Park Road, Dix Hills, NY 11746 | 2020-02-06 |
| 1275011835 | Kimberly Susan Tillett | Licensed Practical Nurse | 22 Millet St., Dix Hills, NY 11746 | 2018-08-04 |
| 1225514409 | Mauricio R. Milhoua | Otolaryngology | 16 Marion Place, South Huntington, NY 11746 | 2018-07-11 |
| 1073037032 | Stacy H Schoenbach | Nurse Practitioner | 150 Broadhollow Road Suite 310, Melville, NY 11746 | 2017-08-01 |
| 1124542584 | Molar To Molar Dentistry PC | Dentist | 1679 New York Avenue, Huntington Station, NY 11746 | 2017-07-27 |
| 1114451077 | Ashleigh Lakatos | Specialist/Technologist | 586 Vanderbilt Pkwy, Dix Hills, NY 11746 | 2017-04-18 |
| 1487199170 | Aderemi O. Ogundiran | Student in an Organized Health Care Education/Training Program | 10 Mont Avenue, Dix Hills, NY 11746 | 2017-01-04 |
| 1942758347 | Philopenie Moise | Registered Nurse | 58 Alpine Way, Huntington Station, NY 11746 | 2016-09-14 |
| 1235598996 | Helen Martignette | Registered Nurse | 121 Wolf Hill Rd, Birchwood School, Melville, NY 11746 | 2016-02-23 |
| 1154780963 | Karen Rose Jacobsen | Registered Nurse | 165 Pidgeon Hill Road, South Huntington, NY 11746 | 2016-02-22 |
| Find all providers in zip 11746 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1760831119 | Vasuli Inc | Clinic/Center | 325 W 45th St, 812, New York, NY 10036-4191 | 2016-06-07 |
| 1093187254 | Samaritan Daytop Village, Inc. | Clinic/Center | 2778 Third Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1588066716 | Care Counseling Center, LLC | Clinic/Center | 214 W 116th St, New York, NY 10026-2494 | 2014-09-18 |
| 1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
| 1508272238 | Trinity of Chemung County | Clinic/Center | 150 Lake St Ste 2, Elmira, NY 14901-3401 | 2014-07-02 |
| 1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON STATION |
| Zip Code | 11746 |
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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.