JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC. (NPI# 1871848234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871848234 |
Entity Type | Organization |
Organization Name | JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC. |
Practice Address |
6200 Beach Channel Drive Arverne NY 11692-3909 |
Mailing Address |
6200 Beach Channel Drive Arverne NY 11692 |
Practice Telephone | 7189457150 |
Practice Fax Number | 7189452596 |
Mailing Telephone | 7189457150 |
Mailing Fax Number | 7189452596 |
Enumeration Date | 2012-07-20 |
Last Update Date | 2016-02-16 |
Authorized Official Name | DR. MARJORIE J. HILL (CEO) |
Authorized Official Telephone | 7189457150 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7003234R | NY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00990152 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578810883 | Joseph P. Addabbo Family Health Center, Inc. | Clinic/Center | 120 Richards Street, Brooklyn, NY 11231 | 2012-08-07 |
1134476443 | Joseph P. Addabbo Family Health Center, Inc. | Clinic/Center | 105-34 Rockaway Boulevard, Ozone Park, NY 11417 | 2012-08-07 |
1750638961 | Joseph P. Addabbo Family Health Center, Inc. | Clinic/Center | 11811 Guy R Brewer Blvd, Jamaica, NY 11434-2101 | 2012-08-07 |
1467708107 | Joseph P. Addabbo Family Health Center, Inc. | Clinic/Center | 11439 Sutphin Blvd, Jamaica, NY 11434-1022 | 2012-07-31 |
1831307628 | Joseph P. Addabbo Family Health Center, Inc. | Social Worker | 6200 Beach Channel Drive, Arverne, NY 11692 | 2007-05-18 |
1497700736 | Joseph P. Addabbo Family Health Center, Inc. | Clinic/Center | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2006-05-24 |
Street Address |
6200 BEACH CHANNEL DRIVE |
City | ARVERNE |
State | NY |
Zip Code | 11692-3909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902916968 | Robert Thomas Hogan | Audiologist | 6200 Beach Channel Drive, Joseph P Addabbo Family Health Center, Arverne, NY 11692 | 2006-08-30 |
1801389697 | Marjorie Jean Hill | Psychologist | 6200 Beach Channel Drive, Arverne, NY 11692 | 2018-06-07 |
1477751006 | Ruan Davina Somerville | Social Worker | 6200 Beach Channel Drive, Arverne, NY 11692 | 2007-07-05 |
1831307628 | Joseph P. Addabbo Family Health Center, Inc. | Social Worker | 6200 Beach Channel Drive, Arverne, NY 11692 | 2007-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194209528 | Mary Nwalozie | Licensed Practical Nurse | 69 22 Almeda Ave, Arverne, NY 11692 | 2018-09-21 |
1083117592 | Louise Christine Dougherty I | Registered Nurse | 6412 Ocean Ave North, Arverne, NY 11692 | 2018-03-10 |
1508384397 | Gineth Nelson | Counselor | 6944 De Cost Avenue, Arverne, NY 11692 | 2017-09-01 |
1871028217 | Patricia D Molloy | Licensed Practical Nurse | 174 Saltaire Lane, Arverne, NY 11692 | 2017-04-24 |
1265984934 | Natacha Jean Baptiste | Licensed Practical Nurse | 449 Beach 67th St, Apt 2, Arverne, NY 11692 | 2016-10-28 |
1508224320 | Anamaria Tapia | Home Health | 6518 Bayfield Avenue, Arverne, NY 11692 | 2016-02-08 |
1396160065 | Glynn Carbonaro | Registered Nurse | 745 Beach 79th St, Far Rockaway, NY 11692 | 2014-03-04 |
1558605675 | Reginald Nelson | Specialist | 363 Beach 54h St, 4e, Far-rockaway, NY 11692 | 2012-11-15 |
1306109616 | Felecia Stotts | Specialist | 106 Beach 59st, Apt 101, Far Rockaway, NY 11692 | 2012-06-21 |
1760750608 | Dolma Mitchell | Licensed Practical Nurse | 533 Beach 66 Street, Apt#2, Arverne, NY 11692 | 2011-12-07 |
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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 |
---|---|---|---|---|
1497700736 | Joseph P. Addabbo Family Health Center, Inc. | Clinic/Center | 6200 Beach Channel Dr, Arverne, NY 11692-1409 | 2006-05-24 |
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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.