CORNERSTONE FAMILY HEALTHCARE (NPI# 1831712629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831712629 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE FAMILY HEALTHCARE |
| Practice Address |
140 Hammond St Port Jervis NY 12771-2607 |
| Mailing Address |
2570 Route 9w Ste 10 Cornwall NY 12518-1370 |
| Practice Telephone | 8455638000 |
| Mailing Telephone | 8452203100 |
| Mailing Fax Number | 8455342940 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | DASI ELLIOTT (VP OF REVENUE CYCLE MANAGEMENT) |
| Authorized Official Telephone | 8452203144 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORNERSTONE FAMILY HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Greater Hudson Valley Family Health Center, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581297 | Cornerstone Family Healthcare | Clinic/Center | 290 Broadway Ste 2&3, Newburgh, NY 12550-5441 | 2020-05-29 |
| 1417571191 | Cornerstone Family Healthcare | Clinic/Center | 14 Grove St, Middletown, NY 10940-4806 | 2020-05-29 |
| 1326662008 | Cornerstone Family Healthcare | Clinic/Center | 24 Old Firehouse Road, Wallkill, NY 12589 | 2020-05-29 |
| 1558984344 | Cornerstone Family Healthcare | Clinic/Center | 35 Felters Rd, Binghamton, NY 13903-2600 | 2020-05-27 |
| 1841813623 | Cornerstone Family Healthcare | Clinic/Center | 10 Benton Ave, Middletown, NY 10940-5177 | 2020-05-27 |
| 1407479298 | Cornerstone Family Healthcare | Clinic/Center | 2 Fletcher St, Goshen, NY 10924-1402 | 2020-05-27 |
| 1740803535 | Cornerstone Family Healthcare | Clinic/Center | 260 N Little Tor Rd, New City, NY 10956-2627 | 2020-05-27 |
| 1720601503 | Cornerstone Family Healthcare | Clinic/Center | 127 Main St, Highland Falls, NY 10928-4019 | 2020-05-27 |
| 1912520776 | Cornerstone Family Healthcare | Clinic/Center | 91 Blooming Grove Tpke, New Windsor, NY 12553-7757 | 2020-05-27 |
| 1215550009 | Cornerstone Family Healthcare | Clinic/Center | 99 Cameron St, Pine Bush, NY 12566-7113 | 2020-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CORNERSTONE FAMILY HEALTHCARE | 2570 Route 9w, Cornwall, New York 12518 |
| Street Address |
140 HAMMOND ST |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494732 | Ecaterina Iriza | Pediatrics | 140 Hammond St, Port Jervis, NY 12771 | 2005-08-18 |
| 1184125551 | Whitney Rebecca White | Dentist | 140 Hammond St, Port Jervis, NY 12771-2607 | 2018-02-21 |
| 1083141360 | Ashwin Sam Koshy | Family Medicine | 140 Hammond St, Port Jervis, NY 12771-2607 | 2017-05-17 |
| 1407381346 | Jennifer Christophe | Nurse Practitioner | 140 Hammond St, Port Jervis, NY 12771-2607 | 2017-04-28 |
| 1356874853 | Anna Karena Stratis | General Practice | 140 Hammond St, Port Jervis, NY 12771-2607 | 2017-04-11 |
| 1831516574 | Karen Iannuzzi | Nurse Practitioner | 140 Hammond St, Port Jervis, NY 12771-2607 | 2014-03-19 |
| 1962624569 | Zaharoula Maris | Dentist | 140 Hammond St, Port Jervis, NY 12771-2607 | 2007-05-03 |
| 1316967581 | Nila Singaravelu | Obstetrics & Gynecology | 140 Hammond St, Port Jervis, NY 12771 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| Find all providers in zip 12771 | ||||
| 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 |
|---|---|---|---|---|
| 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 | PORT JERVIS |
| Zip Code | 12771 |
Please comment or provide details below to improve the information on CORNERSTONE FAMILY HEALTHCARE.
| 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.