DAYTOP VILLAGE, INC (NPI# 1952422297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952422297 |
| Entity Type | Organization |
| Organization Name | DAYTOP VILLAGE, INC |
| Practice Address |
4504 Route 55 Swan Lake NY 12783 |
| Mailing Address |
54 W 40th St New York NY 10018-2602 |
| Practice Telephone | 8452922089 |
| Practice Fax Number | 8452924652 |
| Mailing Telephone | 2123546000 |
| Mailing Fax Number | 2123823899 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN WINSTON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2123546000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00659687 | 05 | |
| NY | DEPT OF HEALTH ART 28 CER | 7002121R | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437270683 | Daytop Village, Inc | Clinic/Center | 246 Central Park Ave, Hartsdale, NY 10530 | 2007-04-03 |
| 1235353442 | Daytop Village, Inc | Clinic/Center | 91-01 Merrick Blvd, Jamaica, NY 11432 | 2007-04-12 |
| 1972726404 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 248 Fox Hollow Road, Rhinebeck, NY 12572 | 2007-04-11 |
| 1386766970 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 44 Springwood Dr, Rhinebeck, NY 12572 | 2007-04-04 |
| 1912029497 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2007-04-04 |
| 1174644397 | Daytop Village, Inc | Clinic/Center | 401 State St, Brooklyn, NY 11217-1706 | 2007-04-03 |
| 1154442879 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 316 Beach 65th St, Far Rockaway, NY 11692-1425 | 2007-04-02 |
| Street Address |
4504 ROUTE 55 |
| City | SWAN LAKE |
| State | NY |
| Zip Code | 12783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053426270 | Mark Hyman | Dentist | 4504 Route 55, Daytop Village Dental, Swan Lake, NY 12783 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780140939 | Rebecca Berman | Registered Nurse | 38 Old White Lake Turnpike, Swan Lake, NY 12783 | 2019-02-13 |
| 1114181757 | Kathleen J Zylko | Registered Nurse | 4504 St Rte 55, Daytop Village Inc, Swan Lake, NY 12783 | 2008-07-14 |
| 1063514347 | Claire Disanto | Registered Nurse | 4504 Rt 55, Dayton Village, Swan Lake, NY 12783 | 2006-09-05 |
| 1699883801 | Carol Emily Benton | Registered Nurse | Daytop Village, Swan Lake, NY 12783 | 2006-08-28 |
| 1023125606 | Sonia Olsen | Registered Nurse | 4505 Route 55, Daytop Village Inc, Swan Lake, NY 12783 | 2006-08-23 |
| 1922019025 | Karen L Hathaway | Registered Nurse | 4504 St Rt 55, Swan Lake, NY 12783 | 2006-08-11 |
| 1851309181 | John Joseph Czar | Social Worker | 4504 State Route #55, Swan Lake, NY 12783 | 2006-08-03 |
| 1912914672 | Mitchell Evan Fishler | Social Worker | 4551 Rte 55, Swan Lake, NY 12783 | 2006-08-02 |
| 1326060906 | Carol Ann Waxman | Physician Assistant | 4504 State Route 55, Swan Lake, NY 12783 | 2006-07-24 |
| 1588683668 | Susanne Marie Harris | Registered Nurse | Day Top Swan Lake, Swan Lake, NY 12783 | 2006-07-19 |
| Find all providers in zip 12783 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
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| 1326506064 | Mountainside - Huntington | Substance Abuse Rehabilitation Facility | 141 E Main St Ste 2, Huntington, NY 11743-2850 | 2019-03-12 |
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1578030797 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave, Albany, NY 12206-2408 | 2018-10-25 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1518491174 | Aaron Smith | Substance Abuse Rehabilitation Facility | 460 Brielle Ave, Building H, Staten Island, NY 10314 | 2017-04-20 |
| 1346772019 | Catholic Charities of The Diocese of Rockville Centre | Substance Abuse Rehabilitation Facility | 30 Carlough Rd Ste C, Bohemia, NY 11716-2919 | 2017-03-31 |
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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.