DAMIAN FAMILY CARE CENTER, INC. (NPI# 1619415288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619415288 |
| Entity Type | Organization |
| Organization Name | DAMIAN FAMILY CARE CENTER, INC. |
| Other Organization Name | PROJECT SAMARITAN HEALTH SERVICES |
| Practice Address |
3411 Vernon Blvd Long Island City NY 11106-5121 |
| Mailing Address |
13802 Queens Blvd Briarwood NY 11435-2642 |
| Practice Telephone | 2125955810 |
| Practice Fax Number | 7186571870 |
| Mailing Telephone | 7186571100 |
| Mailing Fax Number | 7186571870 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |
| Authorized Official Name | MR. PETER GRISAFI (PRESIDENT/ CEO) |
| Authorized Official Telephone | 7186571100 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAMIAN FAMILY CARE CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7003246R | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Project Samaritan Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336650688 | Damian Family Care Center, Inc. | Clinic/Center | 13 Hell Gate Cir, New York, NY 10035-6602 | 2017-10-13 |
| 1265970834 | Damian Family Care Center, Inc. | Clinic/Center | 161 Lake Shore Rd, Lake Ronkonkoma, NY 11779-3182 | 2017-02-03 |
| 1104915123 | Damian Family Care Center, Inc. | Clinic/Center | 225 E 53rd St, New York, NY 10022 | 2006-10-11 |
| 1154868594 | Damian Family Care Center, Inc. | Clinic/Center | 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 | 2017-01-24 |
| Street Address |
3411 VERNON BLVD |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11106-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790844520 | Phoenix House Foundation | Substance Abuse Rehabilitation Facility | 3411 Vernon Blvd, Long Island City, NY 11106-5121 | 2006-12-07 |
| 1144830233 | Rebecca Elfriede Doyle | Nurse Practitioner | 3411 Vernon Blvd, Long Island City, NY 11106-5121 | 2020-08-04 |
| 1952813727 | Fallon Andrea Cunningham | Dentist | 3411 Vernon Blvd, Long Island City, NY 11106-5121 | 2017-11-01 |
| 1639239494 | Amy Phillips | Physician Assistant | 3411 Vernon Blvd, Long Island City, NY 11106-5121 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492303 | Faizal Hussein | Physical Therapist | 3244 31st Street, Queens, NY 11106 | 2020-09-18 |
| 1730706086 | Stephanie J Coleman | Counselor | Enable My Child, 3545 28 St, Astoria, NY 11106 | 2020-07-02 |
| 1144870056 | Theresa Pizinger | Nurse Practitioner | 3157 31st St, Phf, Long Island City, NY 11106 | 2019-09-13 |
| 1881164564 | Adam Christopher Maslowski | Social Worker | 34-11 Vernon Blvd., Long Island City, NY 11106 | 2018-11-26 |
| 1730675273 | Astoria Dental Broadway | Dentist | 31-72 31st St, Suite #1, Astoria, NY 11106 | 2018-07-09 |
| 1225552037 | Joslynn Ramos | Social Worker | 14-15 Broadway, Astoria, NY 11106 | 2017-08-02 |
| 1790208791 | Sheilla Jean Baptiste Hadid | Prevention Professional | 34 59 Vernon Blvd Apt 1f, Astoria, NY 11106 | 2017-07-21 |
| 1396267225 | Serena Cisneros | Counselor | 34-25 Vernon Blvd, Long Island City, NY 11106 | 2017-07-12 |
| 1538689302 | Dara Michelle Lazar | Massage Therapist | 14-17 31st Avenue, Apt 2b, Astoria, NY 11106 | 2017-06-22 |
| 1093241143 | Kimlong Chan | Student in an Organized Health Care Education/Training Program | 2320 31st Avenue, Astoria, NY 11106 | 2017-05-11 |
| Find all providers in zip 11106 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1306954631 | The Floating Hospital Inc. | Clinic/Center | 21-01 41st Avenue, Long Island City, NY 11101-3825 | 2006-08-28 |
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| 1952542771 | Community Healthcare Network, Inc. | Clinic/Center | 36-11 21st St, Long Island City, NY 11106 | 2009-03-09 |
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| Find all providers with the same taxonomy | ||||
| City | LONG ISLAND CITY |
| Zip Code | 11106 |
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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.