COMMUNITY HEALTHCARE NETWORK, INC. (NPI# 1124396874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124396874 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTHCARE NETWORK, INC. |
| Other Organization Name | FAMILY HEALTH CENTER |
| Practice Address |
9004 161st St 5th Floor Jamaica NY 11432-6141 |
| Mailing Address |
60 Madison Ave 5th Floor New York NY 10010-1600 |
| Practice Telephone | 7185232123 |
| Practice Fax Number | 7185235833 |
| Mailing Telephone | 2125452439 |
| Mailing Fax Number | 6463120481 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | ALAN J. WENGROFSKY (VP OF FINANCE/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) |
7002119R | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Health Center | 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 |
| 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 |
| 1023185725 | Community Healthcare Network, Inc. | Clinic/Center | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2006-11-29 |
| 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 |
9004 161ST ST 5TH FLOOR |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902097660 | Public Health Solutions | Clinic/Center | 9004 161st St, 5th Floor, Jamaica, NY 11432-6103 | 2007-08-07 |
| 1518436146 | Maria Catalina Bertani | Advanced Practice Midwife | 9004 161st St, Jamaica, NY 11432-6141 | 2018-11-13 |
| 1487108494 | Romy Alvarez | Case Manager/Care Coordinator | 9004 161st St, 3rd Fl, Jamaica, NY 11432-6141 | 2016-08-08 |
| 1477923076 | Rita Gordon | Midwife | 9004 161st St, Jamaica, NY 11432-6141 | 2015-09-25 |
| 1528441680 | Ameli Miah | Case Manager/Care Coordinator | 9004 161st St, Suite 304, Jamaica, NY 11432-6141 | 2015-07-07 |
| 1033592373 | Devanis Guerrero | Case Manager/Care Coordinator | 9004 161st St, Jamaica, NY 11432-6141 | 2015-07-06 |
| 1174925176 | Samantha Benoit | Case Manager/Care Coordinator | 9004 161st St, Suite 304, Jamaica, NY 11432-6141 | 2014-09-22 |
| 1326454943 | Miriam Cusicanqui | Social Worker | 9004 161st St, 5th Floor, Jamaica, NY 11432-6141 | 2014-07-02 |
| 1285048058 | Lucy Mansilla | Case Manager/Care Coordinator | 9004 161st St, Suite 304, Jamaica, NY 11432-6141 | 2014-06-19 |
| 1730510389 | Bushra Choudhury | Case Manager/Care Coordinator | 9004 161st St, Suite 304, Jamaica, NY 11432-6141 | 2013-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| 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.