SAMARITAN DAYTOP VILLAGE, INC. (NPI# 1154795235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154795235 |
| Entity Type | Organization |
| Organization Name | SAMARITAN DAYTOP VILLAGE, INC. |
| Other Organization Name | SAMARITAN VILLAGE INC. |
| Practice Address |
250 Grand Concourse Bronx NY 10451-5430 |
| Mailing Address |
13802 Queens Blvd Briarwood NY 11435-2642 |
| Practice Telephone | 7182922240 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2016-04-15 |
| Authorized Official Name | MR. CHARLES MADRAY (VICE PRESIDENT OF HEALTH SERVICES &) |
| Authorized Official Telephone | 7182062000 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 000245309 | 05 |
| Other Name | Type Code |
|---|---|
| Samaritan 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 |
| 1134240344 | Samaritan Daytop Village, Inc. | Clinic/Center | 620 Route 303, Blauvelt, NY 10913-1170 | 2007-04-03 |
| 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 |
| Street Address |
250 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10451-5430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689612426 | Dennis Castillo | Physician Assistant | 250 Grand Concourse, Bronx, NY 10451 | 2006-06-03 |
| 1942850656 | Tricha Samantha Frederick | Licensed Practical Nurse | 250 Grand Concourse, Bronx, NY 10451-5430 | 2019-09-14 |
| 1083263347 | Osvaldo Arturo Frias | Licensed Practical Nurse | 250 Grand Concourse, Bronx, NY 10451-5430 | 2019-09-10 |
| 1427607639 | Angelo Gallardo | Licensed Practical Nurse | 250 Grand Concourse, Bronx, NY 10451-5430 | 2019-09-10 |
| 1316405533 | Kimberly Santiago | Registered Nurse | 250 Grand Concourse, Bronx, NY 10451-5430 | 2019-03-06 |
| 1427567676 | Thurston Randall Jr. | Counselor | 250 Grand Concourse, Bronx, NY 10451 | 2017-09-20 |
| 1467982173 | Nicole Felix II | Registered Nurse | 250 Grand Concourse, Bronx, NY 10451-5430 | 2017-06-14 |
| 1881058212 | Monsie Evette Santiago | Counselor | 250 Grand Concourse, Bronx, NY 10451 | 2016-04-12 |
| 1922472083 | Santos Seda | Counselor | 250 Grand Concourse, Bronx, NY 10451 | 2015-11-30 |
| 1194199257 | Anthony Daniel Martinez | Counselor | 250 Grand Concourse, Bronx, NY 10451 | 2015-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
| 1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
| 1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
| 1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
| 1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
| 1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
| 1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| Find all providers in zip 10451 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.