DAMIAN FAMILY CARE CENTERS, INC. (NPI# 1972982528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972982528 |
| Entity Type | Organization |
| Organization Name | DAMIAN FAMILY CARE CENTERS, INC. |
| Other Organization Name | PROJECT SAMARITAN HEALTH SERVICES |
| Practice Address |
130-20 89th Road Richmond Hill NY 11418 |
| Mailing Address |
138-02 Queens Boulevard, 2nd Floor Briarwood NY 11435 |
| Practice Telephone | 9293356541 |
| Mailing Telephone | 7186571100 |
| Mailing Fax Number | 7186571870 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2016-12-02 |
| Authorized Official Name | MR. JOHN CHUE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7186571100 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7003246R | NY | Ambulatory Health Care Facilities |
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Project Samaritan Health Services | 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 |
| 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 |
| 1710332911 | Damian Family Care Centers, Inc. | Clinic/Center | 219 E 121st St, New York, NY 10035-3018 | 2016-04-26 |
| 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 |
130-20 89TH ROAD |
| City | RICHMOND HILL |
| State | NY |
| Zip Code | 11418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386125466 | Jasmine Offley | Social Worker | 130-20 89th Road, Richmond Hill, NY 11418 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727494 | Beatrice Oluyemisi Owoeye | Social Worker | Jamaica Medical Center, 8900 Van Wyck Express, Jamaica, NY 11418 | 2020-03-30 |
| 1023648763 | Annette Karabolli | Specialist | 134-11 Richmond Hills, Queens, NY 11418 | 2020-01-22 |
| 1447801899 | Elina Babayeva | Occupational Therapist | 85-60 109th Street, Richmond Hill, NY 11418 | 2019-09-26 |
| 1962979351 | David Gelin | Nurse Practitioner | 134-20 87th Ave, 7f, Richmond Hill, NY 11418 | 2018-10-24 |
| 1598257339 | Levi Yechiel Grosser | Student in an Organized Health Care Education/Training Program | 134-20 Jamaica Ave, 3rd Floor Axel Building, Jamaica, NY 11418 | 2018-06-06 |
| 1124519590 | George Jonathan Deannuntis | Pharmacist | 101-21 Jamaica Ave, Richmond Hill, NY 11418 | 2018-05-22 |
| 1720583545 | Priya Katwala | Student in an Organized Health Care Education/Training Program | 8900 Van Wyvk Expy, Richmond Hill, NY 11418 | 2018-03-25 |
| 1851817670 | Lawrence Keke Luo | Chiropractor | 105-09 Jamaica Avenue, Richmond Hill, NY 11418 | 2017-08-15 |
| 1346779162 | Priya Pathadan | Nurse Practitioner | 8900 Vanwyck Expressway, Jamaica Hospital Medical Center -nicu, Jamaica, NY 11418 | 2017-06-06 |
| 1134654049 | Wqg Physical Therapy PC | Physical Therapist | 87-60 125th St, Richmond Hill, NY 11418 | 2017-04-28 |
| Find all providers in zip 11418 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | RICHMOND HILL |
| Zip Code | 11418 |
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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.