| NPI | 1003152240 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2012-12-17 |
| Last Updated | 2012-12-17 |
| Authorized Official | Maria Mazzotta Chief Finance Officer Phone: 9145021470 |
| Mailing Address | 165 Main St Ossining, NY 10562-4702 United States Phone: (914) 502-1470 | Fax: (914) 762-7224 📍 View Map |
| Primary Practice Address | 155 Main St Brewster, NY 10509-1521 United States Phone: (845) 279-6999 | Fax: (845) 279-0908 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | NY | 5905200R |
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About NPI 1003152240
Open Door Family Medical Center, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1003152240. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Brewster, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-12-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1003152240?
NPI 1003152240 belongs to Open Door Family Medical Center, Inc., a Clinic/Center, Federally Qualified Health Center (FQHC) in Brewster, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1003152240 active?
The current status of NPI 1003152240 in the NPPES registry is Active. The record was last updated on 2012-12-17.
What specialty is NPI 1003152240?
NPI 1003152240 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1003152240?
You can verify NPI 1003152240 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1003152240?
The primary practice address on file for NPI 1003152240 is 155 Main St, Brewster, NY 10509-1521. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1003152240 issued?
NPI 1003152240 was first issued (enumerated) on 2012-12-17. The NPPES record was last updated on 2012-12-17.
Practice Location Map
Open Door Family Medical Center, Inc. is located at 155 Main St, Brewster, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Open Door Family Medical Center, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1003152240. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Federally Qualified Health Center (FQHC) | 5905200R | NY |