DAYTOP VILLAGE, INC (NPI# 1235353442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235353442 |
| Entity Type | Organization |
| Organization Name | DAYTOP VILLAGE, INC |
| Practice Address |
91-01 Merrick Blvd Jamaica NY 11432 |
| Mailing Address |
54 W 40th St New York NY 10018-2602 |
| Practice Telephone | 7185234242 |
| Practice Fax Number | 7185235520 |
| Mailing Telephone | 2123546000 |
| Mailing Fax Number | 2123823899 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN WINSTON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2123546000 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437270683 | Daytop Village, Inc | Clinic/Center | 246 Central Park Ave, Hartsdale, NY 10530 | 2007-04-03 |
| 1972726404 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 248 Fox Hollow Road, Rhinebeck, NY 12572 | 2007-04-11 |
| 1386766970 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 44 Springwood Dr, Rhinebeck, NY 12572 | 2007-04-04 |
| 1912029497 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 88 Fox Hollow Rd, Rhinebeck, NY 12572-3639 | 2007-04-04 |
| 1174644397 | Daytop Village, Inc | Clinic/Center | 401 State St, Brooklyn, NY 11217-1706 | 2007-04-03 |
| 1952422297 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 4504 Route 55, Swan Lake, NY 12783 | 2007-04-03 |
| 1154442879 | Daytop Village, Inc | Substance Abuse Rehabilitation Facility | 316 Beach 65th St, Far Rockaway, NY 11692-1425 | 2007-04-02 |
| Street Address |
91-01 MERRICK BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013035963 | Frank Peter Tavella | Counselor | 91-01 Merrick Blvd, Jamaica, NY 11432 | 2007-03-27 |
| 1093933574 | Danielle N Freeman | Counselor | 91-01 Merrick Blvd, Jamaica, NY 11432 | 2007-04-23 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073769840 | Carey Eugene Jankiewicz | Clinic/Center | 162-24 Jamaica Ave, 2nd Floor, Jamaica, NY 11432 | 2008-08-13 |
| 1982878757 | Samaritan Daytop Village, Inc. | Clinic/Center | 14401 Jamaica Ave, Jamaica, NY 11435-3601 | 2008-04-14 |
| 1083782015 | New Spirit II Inc | Clinic/Center | 16204 South Rd, Jamaica, NY 11433-1608 | 2006-11-30 |
| 1366561235 | Daytop Village Inc. | Clinic/Center | 91-01 Merrick Blvd., Jamaica, NY 11432-5227 | 2007-03-29 |
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| 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 |
| 1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
| Find all providers with the same taxonomy | ||||
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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.