ODA PRIMARY HEALTH CARE NETWORK, INC. (NPI# 1093263998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093263998 |
Entity Type | Organization |
Organization Name | ODA PRIMARY HEALTH CARE NETWORK, INC. |
Practice Address |
6 Dairyland Rd Woodridge NY 12789 |
Mailing Address |
14 Heyward St Brooklyn NY 11249-7823 |
Practice Telephone | 7182604600 |
Mailing Telephone | 7182604600 |
Enumeration Date | 2016-09-20 |
Last Update Date | 2018-04-25 |
Authorized Official Name | ROSE ROSENFELD (CFO) |
Authorized Official Telephone | 7182604600 |
Is Organization Subpart | Y |
Parent Organization Name | ODA PRIMARY HEALTH CARE NETWORK, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184186496 | Oda Primary Health Care Network, Inc. | Clinic/Center | 74 Wallabout Street, Brooklyn, NY 11249 | 2019-04-04 |
1568910545 | Oda Primary Health Care Network, Inc. | Clinic/Center | 329 Hewes St, Brooklyn, NY 11211-7474 | 2016-09-19 |
1588122691 | Oda Primary Health Care Network, Inc. | Clinic/Center | 18 Heyward St, Brooklyn, NY 11249-9210 | 2019-03-07 |
1376091363 | Oda Primary Health Care Network, Inc. | Clinic/Center | 60 Jefferson St, Suite 1, Monticello, NY 12701-1122 | 2016-09-19 |
1922556919 | Oda Primary Health Care Network, Inc. | Clinic/Center | 58 Rutledge St, Brooklyn, NY 11249-7814 | 2016-09-19 |
1396293379 | Oda Primary Health Care Network, Inc. | Clinic/Center | 517 Park Ave, Brooklyn, NY 11205-1783 | 2016-09-19 |
1609275205 | Oda Primary Health Care Network, Inc. | Clinic/Center | 432 Bedford Ave, Brooklyn, NY 11249-6588 | 2014-08-19 |
1720177066 | Oda Primary Health Care Network, Inc. | Clinic/Center | 14 Heyward St, Brooklyn, NY 11249-7823 | 2006-10-12 |
Street Address |
6 DAIRYLAND RD |
City | WOODRIDGE |
State | NY |
Zip Code | 12789 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609355882 | Charles Robinson Jr. | Non-emergency Medical Transport (VAN) | 1220 Glenn Wild Rd, Woodridge, NY 12789 | 2018-08-09 |
1578994141 | Mark A York II | Licensed Practical Nurse | 34-36 Broadway, Apt. 104, Woodridge, NY 12789 | 2013-12-09 |
1740351832 | David S Drew | Dentist | 9 Highland Ave, Woodridge, NY 12789 | 2006-11-13 |
1881825941 | Krieger Medical | Clinic/Center | 13 Fourth St, Woodridge, NY 12789-0034 | 2009-08-06 |
1356585780 | Charles Howard Kornblau | Internal Medicine | 2 First Street, Woodridge, NY 12789-0101 | 2009-04-29 |
1679877914 | Dorothy Novogrodsky | Specialist | 223 Dairyland Rd., Woodridge, NY 12789-0153 | 2010-12-30 |
1194709253 | Tri County Medical Associate PC | Family Medicine | 20 Broadway, Woodridge, NY 12789-0546 | 2005-12-02 |
1487134011 | Jeweliana B Trujillo | Licensed Practical Nurse | 22 Dairyland Rd Ext, Woodridge, NY 12789-1278 | 2018-08-14 |
1881204006 | Kelly Spear | Social Worker | 10 Alpine Dr # 1003, Woodridge, NY 12789-5800 | 2020-08-03 |
1184027294 | Onyinye Amakom | Registered Nurse | 3 Edelweiss Dr, Woodridge, NY 12789-5806 | 2014-10-02 |
Find all providers in zip 12789 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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 |
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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.