SAMARITAN DAYTOP VILLAGE, INC. (NPI# 1134240344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134240344 |
Entity Type | Organization |
Organization Name | SAMARITAN DAYTOP VILLAGE, INC. |
Other Organization Name | DAYTOP VILLAGE, INC. |
Practice Address |
620 Route 303 Blauvelt NY 10913-1170 |
Mailing Address |
54 W 40th St New York NY 10018-2602 |
Practice Telephone | 8453532730 |
Practice Fax Number | 8453532358 |
Mailing Telephone | 2123546000 |
Mailing Fax Number | 2112382389 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2016-04-29 |
Authorized Official Name | CHARLES MADRAY (VP OF HEALTH SERVICES & COMMUNITY B) |
Authorized Official Telephone | 7182062000 |
Authorized Official Credential | MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
NY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00659687 | 05 | |
NY | DEPT OF HEALTH ART 28 CER | 7002121R | 01 |
Other Name | Type Code |
---|---|
Daytop Village, Inc. | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629440888 | Samaritan Daytop Village, Inc. | Clinic/Center | 2780 3rd Avenue, Bronx, NY 10455 | 2015-10-28 |
1093187254 | Samaritan Daytop Village, Inc. | Clinic/Center | 2778 Third Avenue, Bronx, NY 10455 | 2015-10-28 |
1982878757 | Samaritan Daytop Village, Inc. | Clinic/Center | 14401 Jamaica Ave, Jamaica, NY 11435-3601 | 2008-04-14 |
1548381767 | Samaritan Daytop Village, Inc. | Clinic/Center | 1915 Forest Ave, Staten Island, NY 10303-2127 | 2007-04-03 |
1205957297 | Samaritan Daytop Village, Inc. | Clinic/Center | 900 Arnow Avenue, Bronx, NY 10469 | 2007-04-03 |
1831210038 | Samaritan Daytop Village, Inc. | Clinic/Center | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2007-04-03 |
1396822839 | Samaritan Daytop Village, Inc. | Substance Abuse Rehabilitation Facility | 13020 89th Rd, Richmond Hill, NY 11418-3301 | 2006-11-01 |
1245272772 | Samaritan Daytop Village, Inc. | Clinic/Center | 368 E 148th St, Bronx, NY 10455-4005 | 2006-06-11 |
1417571639 | Samaritan Daytop Village, Inc. | Clinic/Center | 3050 White Plains Road, Bronx, NY 10467 | 2020-06-03 |
1154795235 | Samaritan Daytop Village, Inc. | Clinic/Center | 250 Grand Concourse, Bronx, NY 10451-5430 | 2015-11-30 |
Street Address |
620 ROUTE 303 |
City | BLAUVELT |
State | NY |
Zip Code | 10913-1170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437620382 | Alexandra Reiter | Social Worker | 620 Route 303, Blauvelt, NY 10913-1170 | 2018-12-17 |
1902306533 | Jason Mitchell Fox | Social Worker | 620 Route 303, Blauvelt, NY 10913-1170 | 2018-02-20 |
1134628530 | Lauren Mongiori | Social Worker | 620 Route 303, Blauvelt, NY 10913-1170 | 2018-02-12 |
1548769821 | Alyssa Pappas | Social Worker | 620 Route 303, Blauvelt, NY 10913-1170 | 2018-02-01 |
1235545906 | Denise Smith | Health Educator | 620 Route 303, Blauvelt, NY 10913-1170 | 2014-07-02 |
1396176772 | Daniel Sullivan | Social Worker | 620 Route 303, Blauvelt, NY 10913-1170 | 2013-12-10 |
1346588449 | Katelyn Anne Mcdonagh | Social Worker | 620 Route 303, Blauvelt, NY 10913-1170 | 2013-01-24 |
1922359884 | Jennifer Jenine Ramos | Social Worker | 620 Route 303, Blauvelt, NY 10913-1170 | 2012-10-01 |
1619258324 | Carol Ann Slattery | Social Worker | 620 Route 303, Blauvelt, NY 10913-1170 | 2011-09-08 |
1073747366 | Phylis T. Brancaleoni | Social Worker | 620 Route 303, Blauvelt, NY 10913-1170 | 2009-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679097554 | Rebecca Finch | Speech-Language Pathologist | 5 Murphy Ct, Blauvelt, NY 10913 | 2017-08-01 |
1376942961 | Annalisa Carollo | Speech-Language Pathologist | 17 Valenza Lane, Blauvelt, NY 10913 | 2014-08-19 |
1295172146 | William Allen Maccannell | Specialist | 23 Milton Grant Drive, Blauvelt, NY 10913 | 2013-06-02 |
1578883492 | Bernadette O'shea | Licensed Practical Nurse | 3 Cobble Place, Blauvelt, NY 10913 | 2010-06-02 |
1972742666 | Sharon M. Borel | Social Worker | 620 Route #303, Blauvelt, NY 10913 | 2009-02-19 |
1245866045 | Restoredhealth LLC | Nurse Practitioner | 4 John Calvin Dr, Blauvelt, NY 10913-1001 | 2020-03-12 |
1356740708 | Oisin Mcelligott | Community Health Worker | 4 Avis Ct, Blauvelt, NY 10913-1006 | 2014-08-21 |
1700022274 | John M Denefrio | Specialist | 1 Avis Ct, Blauvelt, NY 10913-1006 | 2009-01-05 |
1730204595 | David M Klayman | Chiropractor | 580 Route 303, Blauvelt, NY 10913-1105 | 2007-03-20 |
1720157159 | Lorraine Guarino-minassian | Specialist | 580 Route 303 # 11, Westshore Plaza, Blauvelt, NY 10913-1105 | 2006-11-07 |
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Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1093187254 | Samaritan Daytop Village, Inc. | Clinic/Center | 2778 Third Avenue, Bronx, NY 10455 | 2015-10-28 |
1588066716 | Care Counseling Center, LLC | Clinic/Center | 214 W 116th St, New York, NY 10026-2494 | 2014-09-18 |
1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
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1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
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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.