1. Home
  2. Directory
  3. New York
  4. Brewster
  5. Clinic Center
  6. NPI Profile

OPEN DOOR FAMILY MEDICAL CENTER, INC.
NPI 1003152240
Clinic/Center - Federally Qualified Health Center (FQHC) in Brewster, NY

Active since December 17, 2012CLIA Certified · 3 labs
155 MAIN ST, BREWSTER, NY 10509(845) 279-6999(845) 279-0908 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Open Door Family Medical Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPEN DOOR FAMILY MEDICAL CENTER, INC. (NPI 1003152240) is a healthcare organization registered as a federally qualified health center (fqhc) in Brewster, New York and active in the NPI registry since December 2012. The organization holds 3 active CLIA laboratory certificates and lists Maria Mazzotta, Chief Finance Officer, as its authorized official.

NPPES Registry Identity

NPI1003152240
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOPEN DOOR FAMILY MEDICAL CENTER, INC.
Location Address155 MAIN STBrewster, NY 10509-1521
Mailing Address165 Main StOssining, NY 10562-4702 · (914) 502-1470 · Fax (914) 762-7224
Phone(845) 279-6999
Fax(845) 279-0908
Organization SubpartYes
Authorized OfficialMaria MazzottaChief Finance Officer · (914) 502-1470
Enumeration DateDecember 17, 2012
✔ NPI 1003152240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in NY · 5905200R
155 MAIN ST, Brewster, NY 10509
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2054395

Open Door Family Medical Center · Brewster, NY
Active · expires Mar 26, 2027
CLIA Number33D2054395
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Daren Wu
Laboratory Phone(845) 279-6999
Laboratory LocationOpen Door Family Medical Center155 Main Street, Brewster, NY 10509
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D0697828

Open Door Family Medical Center · Ossining, NY
Active · expires Mar 26, 2027
CLIA Number33D0697828
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 9, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Daren Wu
Laboratory Phone(914) 502-1331
Laboratory LocationOpen Door Family Medical Center165 Main Street, Ossining, NY 10562
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2318259

Open Door Family Medical Center - Church St · Ossining, NY
Active · expires Mar 26, 2027
CLIA Number33D2318259
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Daren Wu
Laboratory Phone(914) 502-1350
Laboratory LocationOpen Door Family Medical Center - Church St2 Church St, Ossining, NY 10562
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA MARIA ALVES PASSONI PA
Physician Assistant (Medical)
155 MAIN ST
BREWSTER, NY 10509
Putnam County (914) 632-2737
DR. KOMALJIT KAUR BHASIN DDS
Dentist (General Practice)
155 MAIN ST
BREWSTER, NY 10509
Putnam County (845) 279-6999
VILLAGE OPTICIANRY
Technician/Technologist (Optician)
155 MAIN ST
BREWSTER, NY 10509
Putnam County (914) 245-5151
MS. ALIX Y LIEB
Social Worker
155 MAIN ST
BREWSTER, NY 10509
Putnam County (914) 279-6999
DANIELA CRISTINA DIAZ MD
Family Medicine
155 MAIN ST
BREWSTER, NY 10509
Putnam County (845) 279-6999
DR. JOAN CARLA GRCEVIC D.D.S.
Dentist (General Practice)
155 MAIN ST
BREWSTER, NY 10509
Putnam County (845) 279-6999
GAIL BRICK LCSW-R
Social Worker (Clinical)
155 MAIN ST, SUITE # 309
BREWSTER, NY 10509
Putnam County (845) 207-9717
SHEENA LOU-LU BRUENN NURSE PRACTITIONER
Clinical Nurse Specialist (Family Health)
155 MAIN ST
BREWSTER, NY 10509
Putnam County (845) 279-6999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Open Door Family Medical Center, Inc.'s NPI number?

The NPI number for Open Door Family Medical Center, Inc. is 1003152240. It was assigned to this organization in the NPPES registry on December 17, 2012.

Where is Open Door Family Medical Center, Inc. located?

Open Door Family Medical Center, Inc. is located at 155 Main St, Brewster, NY 10509. The listed phone number is (845) 279-6999.

What is Open Door Family Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Open Door Family Medical Center, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Open Door Family Medical Center, Inc. was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.