OPEN DOOR FAMILY MEDICAL CENTER, INC. (NPI# 1003152240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003152240 |
| Entity Type | Organization |
| Organization Name | OPEN DOOR FAMILY MEDICAL CENTER, INC. |
| Practice Address |
155 Main St Brewster NY 10509-1521 |
| Mailing Address |
165 Main St Ossining NY 10562-4702 |
| Practice Telephone | 8452796999 |
| Practice Fax Number | 8452790908 |
| Mailing Telephone | 9145021470 |
| Mailing Fax Number | 9147627224 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |
| Authorized Official Name | MRS. MARIA MAZZOTTA (CHIEF FINANCE OFFICER) |
| Authorized Official Telephone | 9145021470 |
| Is Organization Subpart | Y |
| Parent Organization Name | OPEN DOOR FAMILY MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
5905200R | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215569777 | Open Door Family Medical Center, Inc. | Clinic/Center | 165 Main St, Ossining, NY 10562-4702 | 2020-02-12 |
| 1487194155 | Open Door Family Medical Center, Inc. | Clinic/Center | 689 Mamaroneck Ave, Mamaroneck, NY 10543-5910 | 2017-03-01 |
| 1548592348 | Open Door Family Medical Center, Inc. | Clinic/Center | 351 E Main St, Mount Kisco, NY 10549-3003 | 2010-02-03 |
| 1629237151 | Open Door Family Medical Center, Inc. | Clinic/Center | 30 W Main St, Mount Kisco, NY 10549-1910 | 2008-06-09 |
| 1467487637 | Open Door Family Medical Center, Inc. | Clinic/Center | 165 Main St, Ossining, NY 10562-4702 | 2006-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OPEN DOOR FAMILY MEDICAL CENTER, INC. | 165 Main St, Ossining, NY 10562-4702 |
| Street Address |
155 MAIN ST |
| City | BREWSTER |
| State | NY |
| Zip Code | 10509-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760913768 | Sheena Lou-lu Bruenn | Clinical Nurse Specialist | 155 Main St, Brewster, NY 10509-1521 | 2017-03-22 |
| 1811341522 | Jessica Ann Wilson | Family Medicine | 155 Main St, Brewster, NY 10509-1521 | 2016-04-19 |
| 1255697009 | Daniela Cristina Diaz | Family Medicine | 155 Main St, Brewster, NY 10509-1521 | 2012-04-05 |
| 1225179690 | Village Opticianry | Technician/Technologist | 155 Main St, Brewster, NY 10509-1521 | 2007-02-09 |
| 1144312208 | Komaljit Kaur Bhasin | Dentist | 155 Main St, Brewster, NY 10509-1521 | 2006-09-28 |
| 1346260122 | Gail Brick | Counselor | 155 Main St, Suite # 309, Brewster, NY 10509-1521 | 2006-07-21 |
| 1780627729 | Jay Abram Zaslow | Family Medicine | 155 Main St, Brewster, NY 10509-1521 | 2006-06-14 |
| 1346221496 | Joan Carla Grcevic | Dentist | 155 Main St, Brewster, NY 10509-1521 | 2005-11-07 |
| 1477545267 | Frank Anthony Amoruso | Social Worker | 155 Main St, Brewster, NY 10509-1521 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104397322 | Civility Home Care, LLC | Home Health | 155 Main Street, Ste 104, Brewster, NY 10509 | 2018-12-16 |
| 1407353576 | Jeanne Mary Conte-klein | Registered Nurse | Old Route 6, Carmel, NY 10509 | 2018-04-06 |
| 1013442029 | Caremount Medical, PC | Optometrist | 2 International Blvd, Brewster, NY 10509 | 2017-04-27 |
| 1952758419 | Alison Gail Loewenstein | Dentist | 2410 Us 6, Brewster, NY 10509 | 2016-05-14 |
| 1083956726 | Joseph Francis Dursi | Surgery | Health Services Basic Sciences Building, New York Medical College, Valhalla, NY 10509 | 2013-03-20 |
| 1760726988 | Mallory Elizabeth Aquilino | Physical Therapist | 211 Clock Tower Commons Route 22, Brewster, NY 10509 | 2012-11-15 |
| 1114281375 | Francine M Santos | Specialist | 27 Highview Ter, Brewster, NY 10509 | 2012-07-02 |
| 1639436876 | Oak Tree Family Dental | Dentist | 2410 Rt. 6, Brewster, NY 10509 | 2012-04-12 |
| 1023387628 | Susan M Strain | Student in an Organized Health Care Education/Training Program | 30 Farm To Market Rd., Brewster Central Schools, Brewster, NY 10509 | 2011-12-28 |
| 1407125875 | Susan Chamberlain Norris | Speech-Language Pathologist | 31 Foggintown Road, Brewster, NY 10509 | 2011-12-14 |
| Find all providers in zip 10509 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.