SAMARITAN VILLAGE (NPI# 1922470426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922470426 |
| Entity Type | Organization |
| Organization Name | SAMARITAN VILLAGE |
| Practice Address |
302 E 119th St Apt 4b New York NY 10035-4213 |
| Practice Telephone | 2128281656 |
| Practice Fax Number | 7182929228 |
| Mailing Telephone | 2128281656 |
| Mailing Fax Number | 7182929228 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |
| Authorized Official Name | MRS. BRENDA VAZQUEZ (SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Telephone | 7182924455 |
| Authorized Official Credential | CASAC 16784 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104298363 | Samaritan Village | Clinic/Center | 528 Morris Ave, Bronx, NY 10451 | 2015-10-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAMARITAN VILLAGE APARTMENTS | 3360 N Collister Dr, Boise, ID 83703-3355 |
| System for Award Management (SAM) Entities | SAMARITAN VILLAGE INC | 5420 Ira St, Orlando, FL 32807-1719 |
| Oregon Corporations, Companies and Business Names | SAMARITAN VILLAGE, INC. | 285 Nw 35th St, Corvallis, OR 97330 |
| Street Address |
302 E 119TH ST APT 4B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-4213 |
| 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 | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1326370180 | S & C Kids Power Inc | Exclusive Provider Organization | 236 E 112th St, New York, NY 10029-2913 | 2010-02-04 |
| 1194990150 | Roberta Bernitt | Exclusive Provider Organization | 67-30 Clyde St. -suite A, New York, NY 11375 | 2008-04-29 |
| 1720269756 | Manhattan Eyeworks Inc. | Exclusive Provider Organization | 169 1st Ave, New York, NY 10003-2927 | 2007-11-19 |
| 1790818573 | Professional Evaluation Medical Group | Exclusive Provider Organization | 229 W 36th St Fl 10, New York, NY 10018-8949 | 2007-03-13 |
| 1457824831 | Logistics Health Inc. | Exclusive Provider Organization | 156 William St Fl 4, New York, NY 10038-2609 | 2019-01-08 |
| 1649711086 | Gloria Varela Arregoces | Exclusive Provider Organization | 641 Lexington Ave, 622, New York, NY 10022-4503 | 2017-03-18 |
| 1740649565 | Catholic Managed Ltc Inc | Exclusive Provider Organization | 205 Lexington Ave, New York, NY 10016-6022 | 2016-02-22 |
| 1689047326 | Beyond Basics Physical Therapy | Exclusive Provider Organization | 110 E 42nd St, Suite 1504, New York, NY 10017-5611 | 2015-11-03 |
| 1073913968 | Wl Equity LLC | Exclusive Provider Organization | 820 2nd Ave, 6a, New York, NY 10017-4502 | 2014-08-27 |
| Find all providers in NEW YORK | ||||
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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.