OPEN DOOR FAMILY MEDICAL CENTER, INC.
NPI 1003152240
Clinic/Center - Federally Qualified Health Center (FQHC) in Brewster, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Open Door Family Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
147Medicare enrollment records show 147 clinicians reassign Medicare billing to Open Door Family Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 147Mount Kisco, NY 10549
Mount Kisco, NY 10549
Ossining, NY 10562
Ossining, NY 10562
Sleepy Hollow, NY 10591
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYCertificate of Waiver 33D0697828
Open Door Family Medical Center · Ossining, NYCertificate for Provider-Performed Microscopy Procedures (PPMP) 33D2318259
Open Door Family Medical Center - Church St · Ossining, NYFrequently 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.
Is Open Door Family Medical Center, Inc. enrolled in Medicare?
Yes. Open Door Family Medical Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Open Door Family Medical Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 147 clinicians in 17 Medicare specialties reassign their Medicare billing to Open Door Family Medical Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (38), Clinical Social Worker (28) and Family Practice (21). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Open Door Family Medical Center, Inc. · NPI 1003152240
Federally Qualified Health Center (FQHC) organization in Brewster, New York. Organization record, active in the CMS NPPES registry since December 17, 2012.
## Identity
- **NPI:** 1003152240 (Entity type: Organization)
- **Enumerated:** December 17, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** Yes (part of Open Door Family Medical Center, Inc.)
- **Authorized official:** Maria Mazzotta, CHIEF FINANCE OFFICER
## Practice location
- **Address:** 155 MAIN ST, Brewster, NY 10509-1521
- **Phone:** (845) 279-6999 · **Fax:** (845) 279-0908
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 147 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Clinical Social Worker (28), Family Practice (21); 2 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1003152240/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2012
- **CLIA laboratory certificates:** 3 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1003152240) · Data from the CMS NPPES public registry.