SAMARITAN DAYTOP VILLAGE INC. NPI 1043619349

NPI Information

  • NPI: 1043619349
  • Provider Name: SAMARITAN DAYTOP VILLAGE, INC.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Former Legal Business Name: SAMARITAN VILLAGE
  • Address: 55 W 125TH ST
    10TH FLOOR
    NEW YORK, NY
    ZIP 10027
  • Phone: (212) 864-4128

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NPI Details

SAMARITAN DAYTOP VILLAGE, INC. is a community behavioral health in New York, NY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SAMARITAN DAYTOP VILLAGE, INC. NPI is 1043619349. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Samaritan Village.

The provider's business location address is:

55 W 125TH ST
10TH FLOOR
NEW YORK, NY
ZIP 10027-516
Phone: (212) 864-4128
Fax: (212) 662-9193

The provider's authorized official is Charles Madray .
The authorized official title is Vp Of Health Services & Community B and has the following contact phone number (718) 206-2000.

The enumeration date for this NPI number is 8/22/2014 and was last updated on 4/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health00245309NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1139682283MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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