SAMARITAN DAYTOP VILLAGE, INC.


Address: 620 Route 303, Blauvelt, NY 10913-1170
Phone: 8453532730

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 00659687 05
NY DEPT OF HEALTH ART 28 CER 7002121R 01

Other Provider/Organization Names

Other Name Type Code
Daytop Village, Inc. Former Legal Business Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 620 ROUTE 303
City BLAUVELT
State NY
Zip Code 10913-1170

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1487139218 Thrivee Inc Clinic/Center 88 Remsen St, Cohoes, NY 12047-2981 2018-09-27
1972013084 Professional Counseling Services, Inc Clinic/Center 5700 W Genesee St Ste 118, Camillus, NY 13031-3217 2017-10-03
1760831119 Vasuli Inc Clinic/Center 325 W 45th St, 812, New York, NY 10036-4191 2016-06-07
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
1508272238 Trinity of Chemung County Clinic/Center 150 Lake St Ste 2, Elmira, NY 14901-3401 2014-07-02
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Competitor

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City BLAUVELT
Zip Code 10913

Improve Information

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Dataset Information

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.

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