DAMIAN FAMILY CARE CENTERS, INC. (NPI# 1508955592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508955592 |
| Entity Type | Organization |
| Organization Name | DAMIAN FAMILY CARE CENTERS, INC. |
| Other Organization Name | PROJECT SAMARITAN HEALTH SERVICES |
| Practice Address |
137-50 Jamaica Avenue Jamaica NY 11435 |
| Mailing Address |
138-02 Queens Boulevard, 2nd Floor Briarwood NY 11435 |
| Practice Telephone | 7182985100 |
| Practice Fax Number | 7182985130 |
| Mailing Telephone | 7186571100 |
| Mailing Fax Number | 7186571870 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-12-02 |
| Authorized Official Name | JOHN CHUE (CHIEF FINANACIAL OFFICER) |
| Authorized Official Telephone | 7186571100 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7003246R | NY | Ambulatory Health Care Facilities |
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01690633 | 05 |
| Other Name | Type Code |
|---|---|
| Project Samaritan Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477909349 | Damian Family Care Centers, Inc. | Clinic/Center | 599 Ralph Ave, Brooklyn, NY 11233 | 2016-05-10 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1972982528 | Damian Family Care Centers, Inc. | Clinic/Center | 130-20 89th Road, Richmond Hill, NY 11418 | 2015-05-28 |
| 1346629995 | Damian Family Care Centers, Inc. | Clinic/Center | 216 Fox Hollow Road, Rhinebeck, NY 12572 | 2015-05-28 |
| 1083093637 | Damian Family Care Centers, Inc. | Clinic/Center | 500 8th Avenue, 3rd Floor, New York, NY 10018 | 2015-05-28 |
| 1104908557 | Damian Family Care Centers, Inc. | Clinic/Center | 1600 Macombs Road, Bronx, NY 10452 | 2006-10-19 |
| 1447332697 | Damian Family Care Centers, Inc. | Clinic/Center | 751 Briggs Highway, Ellenville, NY 12428 | 2006-10-19 |
| 1710332911 | Damian Family Care Centers, Inc. | Clinic/Center | 219 E 121st St, New York, NY 10035-3018 | 2016-04-26 |
| 1003294307 | Damian Family Care Centers, Inc. | Clinic/Center | 13802 Queens Blvd, 2nd Floor, Briarwood, NY 11435-2642 | 2015-05-07 |
| 1992193874 | Damian Family Care Centers, Inc. | Clinic/Center | 137-50 Jamaica Avenue, Jamaica, NY 11435 | 2014-12-31 |
| Street Address |
137-50 JAMAICA AVENUE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992193874 | Damian Family Care Centers, Inc. | Clinic/Center | 137-50 Jamaica Avenue, Jamaica, NY 11435 | 2014-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1871114892 | Alternative Care Occupational Therapy, PC | Occupational Therapist | 149-16 Jamaica Ave, Jamaica, NY 11435 | 2020-04-30 |
| 1831737311 | Aminat Adams | Registered Nurse | 10753 Remitown Street, Jamaica, NY 11435 | 2019-12-16 |
| 1376180349 | Isabella Herold | Dietitian, Registered | 97-04 Sutphin Boulevard, Jamaica, NY 11435 | 2019-12-09 |
| 1235774654 | Angela Rose Torriero | Occupational Therapist | 90-36 150th Street, Jamaica, Queens, NY 11435 | 2019-11-08 |
| 1396386009 | Alexandra Mikyung Kim | Registered Nurse | 90-27 Sutphin Boulevard, Jamaica, NY 11435 | 2019-10-03 |
| 1043782097 | Louis E Krigger | Counselor | Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 | 2018-12-31 |
| 1407326093 | Syretta Henry | Social Worker | 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 | 2018-11-27 |
| 1972083277 | Debra Witherspoon-benders | Licensed Vocational Nurse | Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 | 2018-08-16 |
| 1982182895 | Emmanuel Oszwa Odigie | Respite Care | 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 | 2018-08-02 |
| Find all providers in zip 11435 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792239 | Knickerbocker Dialysis Inc | Clinic/Center | 9130 Van Wyck Expy, Jamaica, NY 11418-2822 | 2018-06-01 |
| 1942654694 | Knickerbocker Dialysis Inc | Clinic/Center | 171-19 Hillside Ave, Jamaica, NY 11432-4548 | 2016-04-19 |
| 1811214976 | New York Dialysis Services, Inc. | Clinic/Center | 172-70 Baisley Blvd., Jamaica, NY 11434-2615 | 2010-04-29 |
| 1508988213 | South Queens Dialysis Center | Clinic/Center | 17270 Baisley Blvd, Jamaica, NY 11434-2615 | 2007-04-04 |
| 1871520361 | Knickerbocker Dialysis Inc | Clinic/Center | 11801 Guy R Brewer Blvd, Jamaica, NY 11434-2101 | 2006-06-28 |
| 1487971511 | New York Dialysis Services, Inc. | Clinic/Center | 17537 Liberty Ave, Jamaica, NY 11433-1325 | 2010-04-29 |
| 1205957446 | South Queens Dialysis Center | Clinic/Center | 17537 Liberty Ave, Jamaica, NY 11433-1325 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAMIAN FAMILY CARE CENTERS, INC..
| 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.