DAMIAN FAMILY CARE CENTERS, INC. (NPI# 1710332911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710332911 |
| Entity Type | Organization |
| Organization Name | DAMIAN FAMILY CARE CENTERS, INC. |
| Other Organization Name | 121ST STREET FAMILY HEALTH CENTER |
| Practice Address |
219 E 121st St New York NY 10035-3018 |
| Mailing Address |
13802 Queens Blvd 2nd Floor Briarwood NY 11435-2642 |
| Practice Telephone | 2129875133 |
| Mailing Telephone | 7186571100 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |
| 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) |
70032465R | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| 121st STREET FAMILY HEALTH CENTER | 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 |
| 1508955592 | Damian Family Care Centers, Inc. | Clinic/Center | 137-50 Jamaica Avenue, Jamaica, NY 11435 | 2006-10-11 |
| 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 |
219 E 121ST ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013976976 | Odyssey House, Inc | Clinic/Center | 219 E 121st St, New York, NY 10035-3018 | 2006-03-20 |
| 1134400625 | Cassia Lohar | Social Worker | 219 E 121st St, New York, NY 10035-3018 | 2011-08-29 |
| 1942593173 | Dorothy W. Hopton | Nurse Practitioner | 219 E 121st St, New York, NY 10035-3018 | 2011-05-20 |
| 1104126416 | Marcia Elaine Clarke | Nurse Practitioner | 219 E 121st St, New York, NY 10035-3018 | 2010-11-02 |
| 1295984474 | Elbe Babanto | Registered Nurse | 219 E 121st St, New York, NY 10035-3018 | 2008-09-12 |
| 1194974386 | Janet Lee | Registered Nurse | 219 E 121st St, New York, NY 10035-3018 | 2008-09-12 |
| 1215186499 | Edith Atuegwu | Registered Nurse | 219 E 121st St, New York, NY 10035-3018 | 2008-09-12 |
| 1992954184 | Floretta Quick | Registered Nurse | 219 E 121st St, New York, NY 10035-3018 | 2008-09-12 |
| 1306095591 | Donnabella Quijano | Registered Nurse | 219 E 121st St, New York, NY 10035-3018 | 2008-09-12 |
| 1629227749 | Thomas Mcguirk | Registered Nurse | 219 E 121st St, New York, NY 10035-3018 | 2008-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
| Find all providers in zip 10035 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046940 | William F Ryan Community Health Center Inc | Clinic/Center | 154 Wadsworth Avenue, New York, NY 10033 | 2020-09-01 |
| 1154804805 | Hudson River Healthcare, Inc. | Clinic/Center | 347 West 37th Street, Sidney R. Baer, Jr. Health Center, New York, NY 10018-4202 | 2018-09-10 |
| 1336650688 | Damian Family Care Center, Inc. | Clinic/Center | 13 Hell Gate Cir, New York, NY 10035-6602 | 2017-10-13 |
| 1912436858 | Community Healthcare Network, Inc. | Clinic/Center | 504 W. 158th Street, 5th Floor, Room 511, New York, NY 10032-7202 | 2017-06-05 |
| 1922475235 | Odyssey Health Services | Clinic/Center | 219 E 121 St, New York, NY 10035 | 2015-08-24 |
| 1083093637 | Damian Family Care Centers, Inc. | Clinic/Center | 500 8th Avenue, 3rd Floor, New York, NY 10018 | 2015-05-28 |
| 1972913473 | Community Health Project Inc. | Clinic/Center | 230 W 17th Sreet, New York, NY 10011-5325 | 2014-05-06 |
| 1053588988 | Under 21 | Clinic/Center | 460 W 41st, New York, NY 10036 | 2008-05-09 |
| 1609897453 | Betances Health Center | Clinic/Center | 280 Henry St., Betances Health Center, New York, NY 10002-4816 | 2006-07-21 |
| 1588691828 | William F. Ryan Community Health Center Inc | Clinic/Center | 279 E 3rd St, New York, NY 10009 | 2006-06-26 |
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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.