Damian Family Care Center, Inc.
Project Samaritan Health Services · Clinic/Center (Federally Qualified Health Center (FQHC))

Address: 11711 Myrtle Ave, Richmond Hill, NY 11418-1751
Phone: 7188479233

Damian Family Care Center, Inc. (NPI# 1154868594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1154868594
Entity Type Organization
Organization Name DAMIAN FAMILY CARE CENTER, INC.
Other Organization Name PROJECT SAMARITAN HEALTH SERVICES
Practice Address 11711 Myrtle Ave
Richmond Hill
NY 11418-1751
Practice Telephone 7188479233
Practice Fax Number 7188491093
Mailing Address 13802 Queens Blvd
Briarwood
NY 11435-2642
Mailing Telephone 7186571100
Mailing Fax Number 7186571870
Authorized Official Name Mr. Peter Grisafi (PRESIDENT/ CEO)
Authorized Official Telephone 7186571100
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name DAMIAN FAMILY CARE CENTERS, INC.
Enumeration Date 2017-01-24
Last Update Date 2017-01-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QF0400X Clinic/Center · Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities 7003246R NY

Other Provider/Organization Names

Other Name Type Code
Project Samaritan Health Services Other Name - Individual/Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1336650688 Damian Family Care Center, Inc. Clinic/Center 13 Hell Gate Cir, New York, NY 10035-6602 2017-10-13
1265970834 Damian Family Care Center, Inc. Clinic/Center 161 Lake Shore Rd, Lake Ronkonkoma, NY 11779-3182 2017-02-03
1104915123 Damian Family Care Center, Inc. Clinic/Center 225 E 53rd St, New York, NY 10022 2006-10-11
1619415288 Damian Family Care Center, Inc. Clinic/Center 3411 Vernon Blvd, Long Island City, NY 11106-5121 2017-02-03

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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Office Location

Street Address 11711 MYRTLE AVE
City RICHMOND HILL
State NY
Zip Code 11418-1751

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972605954 Allan R Robertson Counselor 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 2006-09-01
1184017014 Sindy Castro Social Worker 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 2015-03-17
1669781787 John Venza Social Worker 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 2010-10-07
1447404173 Radames Ortiz Counselor 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 2008-11-07
1255585980 Francisco Saltares Counselor 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 2008-11-07
1952553216 Angela Phillips Counselor 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 2008-10-17
1407008766 Nancy Diaz Counselor 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 2008-10-17
1760529788 Beth Covelli Social Worker 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 2007-01-31
1740379833 Angela Blair Registered Nurse 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 2006-10-12
1922190164 Jill J Farkas Counselor 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 2006-09-28
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Providers in the same zip code

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
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Competitor

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City RICHMOND HILL
Zip Code 11418

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Dataset Information

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.