OPEN DOOR FAMILY MEDICAL CENTER INC NPI 1780166645

NPI Information

  • NPI: 1780166645
  • Provider Name: OPEN DOOR FAMILY MEDICAL CENTER INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • CLIA Number: 33D2156598
  • Address: 16 W BRIDGE ST STE 4
    SAUGERTIES, NY
    ZIP 12477
  • Phone: (845) 247-1030

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NPI Details

OPEN DOOR FAMILY MEDICAL CENTER INC is a federally qualified health center (fqhc) clinic center in Saugerties, NY. OPEN DOOR FAMILY MEDICAL CENTER INC NPI is 1780166645. The provider is registered as an organization entity type.

The provider's business location address is:

16 W BRIDGE ST STE 4
SAUGERTIES, NY
ZIP 12477
Phone: (845) 247-1030
Fax: (845) 247-1031

The provider's authorized official is Maria Mazzotta .
The authorized official title is Cfo and has the following contact phone number (914) 941-1263.

The CLIA number assigned to this NPI record is 33D2156598 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/6/2018 and was last updated on 9/7/2018.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 11/21/2025

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