SAMARITAN DAYTOP VILLAGE, INC.


Address: 2780 3rd Avenue, Bronx, NY 10455
Phone: 7182924640

SAMARITAN DAYTOP VILLAGE, INC. (NPI# 1629440888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629440888
Entity Type Organization
Organization Name SAMARITAN DAYTOP VILLAGE, INC.
Practice Address 2780 3rd Avenue
Bronx
NY 10455
Mailing Address 138-02 Queens Blvd
Briarwood
NY 11435
Practice Telephone 7182924640
Enumeration Date 2015-10-28
Last Update Date 2016-04-13
Authorized Official Name CHARLES MADRAY (VP OF HEALTH SERVICES & COMM. BASED)
Authorized Official Telephone 7182062000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 00245309 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1154795235 Samaritan Daytop Village, Inc. Clinic/Center 250 Grand Concourse, Bronx, NY 10451-5430 2015-11-30

Office Location

Street Address 2780 3RD AVENUE
City BRONX
State NY
Zip Code 10455

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1669973285 Uhc Adult Day Program & Transportation Services, Inc Non-emergency Medical Transport (VAN) 368, East 149th Street Suite 3a, Bronx, NY 10455 2018-02-28
1578061206 Ursula Ma Stafford Case Management 391 East 149 St, Suite 417, Bronx, NY 10455 2018-01-29
1942714506 Chantal J George Case Manager/Care Coordinator 391 East 149th Street, 417, Bronx, NY 10455 2017-11-18
1598295800 Sonrisa Corp Pharmacy 755b East 149th St, Bronx, NY 10455 2017-06-19
1962931378 Josepjh Appau Licensed Practical Nurse 512 Jackson Avenue, Apt 2a, Bronx, NY 10455 2017-06-08
1295187664 Leticia Robles Social Worker 480 Concord Avenue Apt#3j, Bronx, NY 10455 2016-07-08
1811350242 Jenna Medical Office PC Family Medicine 2742 Third Avenue, Bronx, NY 10455 2016-04-02
1841656857 Heracles Medical PC Internal Medicine 2825 Third Ave, Suite 7, Bronx, NY 10455 2016-01-06
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1366988362 Postgraduate Center for Mental Health Clinic/Center 3525 Hull Ave, Bronx, NY 10467-1604 2017-01-13
1215313184 Safe Space Therapy Services, Lcsw, Pllc Clinic/Center 981 Morris Park Ave, Bronx, NY 10462-3766 2015-08-03
1871974261 Milestone Psychotherapy, Lcsw, PC Clinic/Center 2010 Williamsbridge Rd, 2nd Floor, Bronx, NY 10461-1603 2015-06-11
1023130580 Our Lady of Mercy Mhc Clinic/Center 4401 Bx. Boulevard, Bronx, NY 10470 2007-04-04
1932231107 Fordham Tremont Cmhc Clinic/Center 2021 Grandconcourse Ave, Bronx, NY 10469 2007-03-12
1710022330 Argus Community, Inc. Clinic/Center 402 E 156th St, Bronx, NY 10455-1232 2007-02-21
1962593210 Yeshiva University Clinic/Center 2527 Glebe Avenue, Bronx, NY 10461 2006-09-28
1174557409 Riverdale Mental Health Association Inc Clinic/Center 5676 Riverdale Avenue, Bronx, NY 10471 2006-07-11
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Competitor

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City BRONX
Zip Code 10455

Improve Information

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Dataset Information

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.

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