OPEN DOOR FAMILY MEDICAL CENTER INC (NPI# 1780166645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780166645 |
| Entity Type | Organization |
| Organization Name | OPEN DOOR FAMILY MEDICAL CENTER INC |
| Practice Address |
16 W Bridge St Ste 4 Saugerties NY 12477 |
| Mailing Address |
165 Main St Ossining NY 10562-4702 |
| Practice Telephone | 8452471030 |
| Practice Fax Number | 8452471031 |
| Mailing Telephone | 9149411263 |
| Mailing Fax Number | 9145021456 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-07 |
| Authorized Official Name | MARIA MAZZOTTA (CFO) |
| Authorized Official Telephone | 9149411263 |
| Is Organization Subpart | Y |
| Parent Organization Name | OPEN DOOR FAMILY MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619136140 | Open Door Family Medical Center Inc | Clinic/Center | 300 N Broadway, Sleepy Hollow, NY 10591-2370 | 2008-06-09 |
| 1285893719 | Open Door Family Medical Center Inc | Clinic/Center | 5 Grace Church St, Port Chester, NY 10573-4911 | 2008-06-09 |
| Street Address |
16 W BRIDGE ST STE 4 |
| City | SAUGERTIES |
| State | NY |
| Zip Code | 12477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437611316 | Laurie J. Fischer | Licensed Practical Nurse | 32a Fortune Valley Ln, Saugherties, NY 12477 | 2019-04-01 |
| 1407315385 | Justin D Gray | Licensed Practical Nurse | 32 B Fortune Valley Lane, Saugerties, NY 12477 | 2019-03-19 |
| 1609374503 | Rachel Caroline Brousseau | Physician Assistant | 2976 Us-9w, Saugerties, NY 12477 | 2018-01-25 |
| 1982145124 | Jacqueline Paunovic | Massage Therapist | 175 North Drive, Saugeties, NY 12477 | 2017-03-20 |
| 1902236201 | Brenda Belle-dunmore | Licensed Practical Nurse | 2683 Route 9w, Saugerties, NY 12477 | 2013-11-22 |
| 1780957811 | Deborah Anne Dickson | Registered Nurse | 10 John Yaeger Rd, Saugerties, NY 12477 | 2012-02-21 |
| 1225348907 | Jeane Catherine Mcmahon | Registered Nurse | 20 Leonard La, Saugerties, NY 12477 | 2010-10-15 |
| 1902116593 | Patricia Fricker | Registered Nurse | 39 Diamond Court, Saugerties, NY 12477 | 2010-10-15 |
| 1619285657 | Jay E. Brown | Psychologist | 310 Washington Avenue, Call Box A, Saugerties, NY 12477 | 2010-09-23 |
| 1639487689 | Gina Marie Kiniry | Social Worker | 1 Washington Avene Ext, Saugerties, NY 12477 | 2010-09-23 |
| Find all providers in zip 12477 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | SAUGERTIES |
| Zip Code | 12477 |
Please comment or provide details below to improve the information on OPEN DOOR FAMILY MEDICAL CENTER 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.