DAMIAN FAMILY CARE CENTERS, INC. (NPI# 1104908557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104908557 |
| Entity Type | Organization |
| Organization Name | DAMIAN FAMILY CARE CENTERS, INC. |
| Other Organization Name | PROJECT SAMARITAN HEALTH SERVICES |
| Practice Address |
1600 Macombs Road Bronx NY 10452 |
| Mailing Address |
138-02 Queens Blvd, 2nd Floor Briarwood NY 11435 |
| Practice Telephone | 7184668800 |
| Practice Fax Number | 7184668870 |
| Mailing Telephone | 7186571100 |
| Mailing Fax Number | 7186571870 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | JOHN CHUE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7186571100 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01690633 | 05 |
| Other Name | Type Code |
|---|---|
| Project Samaritan Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477909349 | Damian Family Care Centers, Inc. | Clinic/Center | 599 Ralph Ave, Brooklyn, NY 11233 | 2016-05-10 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1972982528 | Damian Family Care Centers, Inc. | Clinic/Center | 130-20 89th Road, Richmond Hill, NY 11418 | 2015-05-28 |
| 1346629995 | Damian Family Care Centers, Inc. | Clinic/Center | 216 Fox Hollow Road, Rhinebeck, NY 12572 | 2015-05-28 |
| 1083093637 | Damian Family Care Centers, Inc. | Clinic/Center | 500 8th Avenue, 3rd Floor, New York, NY 10018 | 2015-05-28 |
| 1447332697 | Damian Family Care Centers, Inc. | Clinic/Center | 751 Briggs Highway, Ellenville, NY 12428 | 2006-10-19 |
| 1508955592 | Damian Family Care Centers, Inc. | Clinic/Center | 137-50 Jamaica Avenue, Jamaica, NY 11435 | 2006-10-11 |
| 1710332911 | Damian Family Care Centers, Inc. | Clinic/Center | 219 E 121st St, New York, NY 10035-3018 | 2016-04-26 |
| 1003294307 | Damian Family Care Centers, Inc. | Clinic/Center | 13802 Queens Blvd, 2nd Floor, Briarwood, NY 11435-2642 | 2015-05-07 |
| 1992193874 | Damian Family Care Centers, Inc. | Clinic/Center | 137-50 Jamaica Avenue, Jamaica, NY 11435 | 2014-12-31 |
| Street Address |
1600 MACOMBS ROAD |
| City | BRONX |
| State | NY |
| Zip Code | 10452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1194205096 | Lorraine E Essien | Licensed Practical Nurse | 1491 Macombs Road, Apt 4j, Bronx, NY 10452 | 2018-08-20 |
| 1578042768 | Latisha Monique Williams | Registered Nurse | 1465 Nelson Avenue, #2g, Bronx, NY 10452 | 2018-08-09 |
| 1073022695 | Jenny Amparo Calderon | Case Manager/Care Coordinator | 1265 Gerard Avenue Apt 4f, Bronx, NY 10452 | 2017-09-26 |
| 1881113652 | Vivian Grace Parham | Nurse Practitioner | 1395 Nelson Ave., 2a, Bronx, NY 10452 | 2017-09-13 |
| 1548786288 | James Bishop Jr. | Counselor | 1366 Inwood Ave 1st Floor, Bronx, NY 10452 | 2017-08-15 |
| 1346763315 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 88 Featherbed Ln, Bronx, NY 10452 | 2017-07-21 |
| 1841712205 | Gloria Susanah Tirado | Registered Nurse | 95 W 162nd Street Apt 26, Bronx, NY 10452 | 2017-07-07 |
| 1568999266 | Madeline Mora | Occupational Therapy Assistant | 1424 Shakespeare Ave, Apt# 2fl, Bronx, NY 10452 | 2017-05-12 |
| 1265963995 | Nana Yaa Darkwah | Licensed Practical Nurse | 1475 Wythe Place#6d, Bronx, NY 10452 | 2017-03-24 |
| Find all providers in zip 10452 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1902456742 | Knickerbocker Dialysis Inc | Clinic/Center | 34 Marconi St Ste 110, Bronx, NY 10461-2755 | 2019-09-13 |
| 1407415243 | Knickerbocker Dialysis Inc | Clinic/Center | 931 Bruckner Blvd, Bronx, NY 10459-4525 | 2019-06-06 |
| 1700353943 | New York Dialysis Services Inc | Clinic/Center | 1776 Eastchester Rd Ste 240, Bronx, NY 10461-2335 | 2018-10-25 |
| 1730676743 | Knickerbocker Dialysis Inc | Clinic/Center | 1820 E Tremont Ave, Bronx, NY 10460-3131 | 2018-04-16 |
| 1013410133 | Knickerbocker Dialysis Inc | Clinic/Center | 2190 Jerome Ave, Bronx, NY 10453-1815 | 2018-03-15 |
| 1063911659 | Knickerbocker Dialysis Inc | Clinic/Center | 1490 Macombs Rd, Bronx, NY 10452-2101 | 2018-02-08 |
| 1275032856 | Knickerbocker Dialysis Inc | Clinic/Center | 2554 White Plains Rd, Bronx, NY 10467-8141 | 2018-02-08 |
| 1063932945 | Knickerbocker Dialysis Inc | Clinic/Center | 3440 Boston Rd, Bronx, NY 10469-2512 | 2017-06-22 |
| 1962957993 | Knickerbocker Dialysis Inc | Clinic/Center | 2331 Eastchester Rd, Bronx, NY 10469-5910 | 2016-08-19 |
| Find all providers in BRONX | ||||
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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.