SAMARITAN DAYTOP VILLAGE, INC. (NPI# 1326160904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326160904 |
Entity Type | Organization |
Organization Name | SAMARITAN DAYTOP VILLAGE, INC. |
Other Organization Name | DAYTOP VILLAGE, INC. |
Practice Address |
500 8th Ave Suite 300 New York NY 10018-6504 |
Mailing Address |
54 W 40th St New York NY 10018-2602 |
Practice Telephone | 2129041500 |
Practice Fax Number | 2129041515 |
Mailing Telephone | 2123546000 |
Mailing Fax Number | 2123823899 |
Enumeration Date | 2007-04-04 |
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 |
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 |
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 |
500 8TH AVE SUITE 300 |
City | NEW YORK |
State | NY |
Zip Code | 10018-6504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063960912 | Nirmala Brodman | Counselor | 500 8th Ave, 9th Floor, New York, NY 10018-6504 | 2016-09-20 |
1699223958 | Michael Cangro | Counselor | 500 8th Ave, New York, NY 10018-6504 | 2016-09-15 |
1730637000 | Adam Jason Coccaro | Counselor | 500 8th Ave, New York, NY 10018-6504 | 2016-09-15 |
1467811059 | Bridge Back To Life Center.inc | Community/Behavioral Health | 500 8th Ave, Suite 906, New York, NY 10018-6504 | 2016-02-11 |
1346626850 | Ginamarie Guarino | Counselor | 500 8th Ave, New York, NY 10018-6504 | 2015-08-06 |
1639555659 | Brian Kaveh | Counselor | 500 8th Ave, Suite 906, New York, NY 10018-6504 | 2015-07-31 |
1710360789 | Julio Lopez | Social Worker | 500 8th Ave, Suite 906, New York, NY 10018-6504 | 2015-07-08 |
1427438647 | Nicole Ogrady | Registered Nurse | 500 8th Ave, New York, NY 10018-6504 | 2015-06-03 |
1619374329 | Aynisa Leonardo | Clinical Ethicist | 500 8th Ave, New York, NY 10018-6504 | 2014-11-24 |
1992101034 | Kristina Cugini | Clinical Ethicist | 500 8th Ave, New York, NY 10018-6504 | 2014-11-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205451325 | Nishi Sanjay Patel | Physical Therapist | 12 West 37th Street, Suite 1202, New York, NY 10018 | 2020-06-15 |
1962023168 | Brand Therapy Psychological Services PC | Psychologist | 50 West 39th St, Suite 305, New York, NY 10018 | 2020-04-29 |
1215587985 | Nicole Kosanke | Psychologist | 519 8th Avenue, 9th Floor, New York, NY 10018 | 2019-09-16 |
1487216073 | Roselaure Luca | Nurse Practitioner | 5 Bryant Park, 5th Floor, New York, NY 10018 | 2019-07-03 |
1609439942 | Kamiyama Physical Therapy Pllc | Physical Therapist | 1410 Broadway Concourse Level, New York, NY 10018 | 2019-04-22 |
1609339126 | Bryan I. Proano | Social Worker | 550 10th Ave., New York, NY 10018 | 2019-04-11 |
1053876318 | Nitzia Mariana Dacosta | Registered Nurse | 505 8th Ave Suite 200, New York, NY 10018 | 2019-01-31 |
1871060640 | Jose Jean Paul Miliano | Case Manager/Care Coordinator | 535 Eighth Avenue. 2nd Floor, New York, NY 10018 | 2018-10-30 |
1902372220 | Stephanie Lai | Social Worker | 550 Tenth Avenue, New York, NY 10018 | 2018-10-15 |
1528554912 | Positive Health Project, Inc. | Counselor | 301 W 37th St Fl 3, New York, NY 10018 | 2018-07-09 |
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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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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.