COMMUNITY HEALTHCARE NETWORK, INC. (NPI# 1023185725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023185725 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTHCARE NETWORK, INC. |
| Other Organization Name | OPTOMETRY MOBILE |
| Practice Address |
9704 Sutphin Blvd Jamaica NY 11435-4721 |
| Mailing Address |
60 Madison Ave Fl 5 New York NY 10010-1600 |
| Practice Telephone | 7186577088 |
| Practice Fax Number | 7186577092 |
| Mailing Telephone | 2125452439 |
| Mailing Fax Number | 6463120481 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | ALAN J. WENGROFSKY (VICE PRESIDENT OF FINANCE AND CFO) |
| Authorized Official Telephone | 2125452481 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00695941 | 05 |
| Other Name | Type Code |
|---|---|
| Optometry Mobile | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912436858 | Community Healthcare Network, Inc. | Clinic/Center | 504 W. 158th Street, 5th Floor, Room 511, New York, NY 10032-7202 | 2017-06-05 |
| 1326525338 | Community Healthcare Network, Inc. | Clinic/Center | 2581 Atlantic Ave, Brooklyn, NY 11207 | 2018-07-23 |
| 1720581697 | Community Healthcare Network, Inc. | Pharmacy | 3611 21st St, Long Island City, NY 11106 | 2018-03-16 |
| 1124396874 | Community Healthcare Network, Inc. | Clinic/Center | 9004 161st St, 5th Floor, Jamaica, NY 11432-6141 | 2011-12-09 |
| 1639459142 | Community Healthcare Network, Inc. | Clinic/Center | 4215 3rd Ave, 2nd Floor, Bronx, NY 10457-4501 | 2011-08-29 |
| 1952542771 | Community Healthcare Network, Inc. | Clinic/Center | 36-11 21st St, Long Island City, NY 11106 | 2009-03-09 |
| 1699842500 | Community Healthcare Network, Inc. | Clinic/Center | 150 Essex St, New York, NY 10002-2301 | 2006-11-29 |
| 1811064744 | Community Healthcare Network, Inc. | Clinic/Center | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2006-11-29 |
| 1184791923 | Community Healthcare Network, Inc. | Clinic/Center | 97-04 Sutphin Blvd, Jamaica, NY 11435-4721 | 2006-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTHCARE NETWORK, INC. | 60 Madison Ave 5th Fl, New York, NY 10010-1600 |
| New York State Corporations | COMMUNITY HEALTHCARE NETWORK, INC. | 60 Madison Avenue, 5th Floor, New York, Ny 10010 |
| Street Address |
9704 SUTPHIN BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11435-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023084571 | Kristen Denise Manter | Family Medicine | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2006-02-24 |
| 1114437019 | Joanne Schmidt | Nurse Practitioner | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2017-10-05 |
| 1659822963 | Community Healthcare Network Inc | Clinic/Center | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2016-10-21 |
| 1053769141 | Soney Tino Siriphone | Optometrist | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2016-05-30 |
| 1508222522 | Community Healthcare Network, Inc | Clinic/Center | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2016-01-06 |
| 1669845160 | Loveta Uche | Nurse Practitioner | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2015-11-05 |
| 1295104172 | Mavis Ren | Dietitian, Registered | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2015-09-21 |
| 1265825970 | Andrea Ciano | Family Medicine | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2015-03-05 |
| 1588056311 | Susann Cortes | Social Worker | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2015-03-03 |
| 1881097111 | Michelle Diaz | Social Worker | 9704 Sutphin Blvd, Jamaica, NY 11435 | 2014-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1871114892 | Alternative Care Occupational Therapy, PC | Occupational Therapist | 149-16 Jamaica Ave, Jamaica, NY 11435 | 2020-04-30 |
| 1831737311 | Aminat Adams | Registered Nurse | 10753 Remitown Street, Jamaica, NY 11435 | 2019-12-16 |
| 1376180349 | Isabella Herold | Dietitian, Registered | 97-04 Sutphin Boulevard, Jamaica, NY 11435 | 2019-12-09 |
| 1235774654 | Angela Rose Torriero | Occupational Therapist | 90-36 150th Street, Jamaica, Queens, NY 11435 | 2019-11-08 |
| 1396386009 | Alexandra Mikyung Kim | Registered Nurse | 90-27 Sutphin Boulevard, Jamaica, NY 11435 | 2019-10-03 |
| 1043782097 | Louis E Krigger | Counselor | Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 | 2018-12-31 |
| 1407326093 | Syretta Henry | Social Worker | 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 | 2018-11-27 |
| 1972083277 | Debra Witherspoon-benders | Licensed Vocational Nurse | Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 | 2018-08-16 |
| 1982182895 | Emmanuel Oszwa Odigie | Respite Care | 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 | 2018-08-02 |
| Find all providers in zip 11435 | ||||
| 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 |
|---|---|---|---|---|
| 1235612987 | Hudson River Healthcare, Inc. | Clinic/Center | 105 04 Sutphin Boulevard, Brightpoint Queens Health Center, Jamaica, NY 11435-5022 | 2018-09-10 |
| 1720324650 | Care for The Homeless | Clinic/Center | 146-80 Guy Brewer Blvd, Jamaica, NY 11434 | 2012-12-21 |
| 1013253327 | Care for The Homeless | Clinic/Center | 9023 161st St, Jamaica, NY 11432-6107 | 2012-12-14 |
| 1225373723 | Care for The Homeless | Clinic/Center | 8020 134th St, Jamaica, NY 11435-1002 | 2012-12-10 |
| 1508955592 | Damian Family Care Centers, Inc. | Clinic/Center | 137-50 Jamaica Avenue, Jamaica, NY 11435 | 2006-10-11 |
| 1659822963 | Community Healthcare Network Inc | Clinic/Center | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2016-10-21 |
| 1508222522 | Community Healthcare Network, Inc | Clinic/Center | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2016-01-06 |
| 1992193874 | Damian Family Care Centers, Inc. | Clinic/Center | 137-50 Jamaica Avenue, Jamaica, NY 11435 | 2014-12-31 |
| 1679819825 | Care for The Homeless | Clinic/Center | 175-10 88th Avenue, Jamaica, NY 11432 | 2012-12-17 |
| 1750638961 | Joseph P. Addabbo Family Health Center, Inc. | Clinic/Center | 11811 Guy R Brewer Blvd, Jamaica, NY 11434-2101 | 2012-08-07 |
| Find all providers in JAMAICA | ||||
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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.