SAMARITAN DAYTOP VILLAGE, INC.
NPI 1043619349
Community/Behavioral Health in New York, NY

Active since August 22, 2014CLIA 33D2280959 · Waiver
55 W 125TH ST, 10TH FLOOR, NEW YORK, NY 10027(212) 864-4128(212) 662-9193 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samaritan Daytop Village, Inc. NPPES

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

SAMARITAN DAYTOP VILLAGE, INC. (NPI 1043619349), doing business as Samaritan Village, is a healthcare organization registered as a community/behavioral health in New York, New York and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Charles Madray, Vp Of Health Services & Community B, as its authorized official.

NPPES Registry Identity

NPI1043619349
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSAMARITAN DAYTOP VILLAGE, INC.
Location Address55 W 125TH ST, 10TH FLOORNew York, NY 10027-4516
Mailing Address55 W 125th St, 10th FloorNew York, NY 10027-4516 · (212) 864-4128 · Fax (212) 662-9193
Fax(212) 662-9193
Organization SubpartNo
Authorized OfficialCharles MadrayVp Of Health Services & Community B · (718) 206-2000
Enumeration DateAugust 22, 2014
Last NPPES UpdateApril 29, 2016
NPI 1043619349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in NY · 00245309
Definition

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.

55 W 125TH ST, New York, NY 10027

Other Names 1

Former Legal Business NameSamaritan Village

Other Identifiers 1

Medicaid139682283NY

CLIA Laboratory Certificates CMS CLIA

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 33D2280959

Samaritan Daytop Health · Bronx, NY
Active · expires Mar 26, 2027
CLIA Number33D2280959
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 28, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Gregory Bunt
Laboratory Phone(718) 206-2000
Laboratory LocationSamaritan Daytop Health362 E 148th St, Bronx, NY 10455
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Voluntary or Charitable
55 W 125TH ST, 10TH FLOOR
NEW YORK, NY 10027
Voluntary or Charitable
55 W 125TH ST
NEW YORK, NY 10027
Social Worker (Clinical)
55 W 125TH ST, 4TH FLOOR
NEW YORK, NY 10027
Health Maintenance Organization
55 W 125TH ST, 13TH FLOOR
NEW YORK, NY 10027
Community/Behavioral Health
55 W 125TH ST, 10 FL
NEW YORK, NY 10027
Counselor (Addiction (Substance Use Disorder))
55 W 125TH ST
NEW YORK, NY 10027
Clinic/Center (Rehabilitation, Substance Use Disorder)
55 W 125TH ST
NEW YORK, NY 10027
Counselor (Addiction (Substance Use Disorder))
55 W 125TH ST
NEW YORK, NY 10027

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 Samaritan Daytop Village, Inc.'s NPI number?

The NPI number for Samaritan Daytop Village, Inc. is 1043619349. It was assigned to this organization in the NPPES registry on August 22, 2014. The provider was formerly known as Samaritan Village.

Where is Samaritan Daytop Village, Inc. located?

Samaritan Daytop Village, Inc. is located at 55 W 125th St 10th Floor, New York, NY 10027. The listed phone number is (212) 864-4128.

What is Samaritan Daytop Village, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Samaritan Daytop Village, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2280959) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Samaritan Daytop Village, Inc. was last updated on April 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.