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

NPI Status: Active since December 17, 2012

Contact Information

155 MAIN ST
BREWSTER, NY
ZIP 10509
Phone: (845) 279-6999
Fax: (845) 279-0908

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 33D2054395
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-26-2027

About OPEN DOOR FAMILY MEDICAL CENTER, INC.

This page provides the complete NPI Profile along with additional information for Open Door Family Medical Center, Inc., a primary care provider established in Brewster, New York operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1003152240 assigned on December 2012. The practitioner's primary taxonomy code is 261QF0400X with license number 5905200R (NY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mrs. Maria Mazzotta (Chief Finance Officer)

NPI
1003152240
Provider Name
OPEN DOOR FAMILY MEDICAL CENTER, INC.
Entity Type
Organization
Location Address
155 MAIN ST BREWSTER, NY 10509
Location Phone
(845) 279-6999
Location Fax
(845) 279-0908
Mailing Address
165 MAIN ST OSSINING, NY 10562
Mailing Phone
(914) 502-1470
Mailing Fax
(845) 279-0908
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-17-2012
Last Update Date
12-17-2012
Code Navigator

A primary care provider (PCP) like Open Door Family Medical Center, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
5905200R
License State
NY

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARIA MAZZOTTA

Authorized Official Title
CHIEF FINANCE OFFICER
Authorized Official Phone
(914) 502-1470

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2054395
Facility Type
Community Clinic
Certificate Effective Date
November 08, 2024
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. DAREN WU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Open Door Family Medical Center, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003152240, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 2 + 5 + 4 + 2 + 8 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1003152240.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Family Medicine
155 MAIN ST
BREWSTER, NY 10509
Dentist (General Practice)
155 MAIN ST
BREWSTER, NY 10509
Family Medicine
155 MAIN ST
BREWSTER, NY 10509
Dentist (General Practice)
155 MAIN ST
BREWSTER, NY 10509
Family Medicine
155 MAIN ST
BREWSTER, NY 10509
Technician/Technologist (Optician)
155 MAIN ST
BREWSTER, NY 10509
Clinical Nurse Specialist (Family Health)
155 MAIN ST
BREWSTER, NY 10509
Social Worker
155 MAIN ST
BREWSTER, NY 10509
Home Health
155 MAIN ST, UNIT 307
BREWSTER, NY 10509
Physician Assistant
155 MAIN ST
BREWSTER, NY 10509
Physician Assistant (Medical)
155 MAIN ST
BREWSTER, NY 10509
Social Worker (Clinical)
155 MAIN ST, SUITE # 309
BREWSTER, NY 10509

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003152240, enumerated as an "organization" on December 17, 2012.

The provider is located at 155 MAIN ST BREWSTER, NY 10509 and the phone number is (845) 279-6999.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).