OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN
NPI 1073919973
Clinic/Center - Federally Qualified Health Center (FQHC) in Ossining, NY

Q: What is Open Door Family Medical Center School Based Mobile Dental Van's specialty?

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

Active since November 05, 2014CLIA 33D2156598 · Microscopy

165 MAIN ST, OSSINING, NY 10562(914) 941-1263 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Open Door Family Medical Center School Based Mobile Dental Van NPPES

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

OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN (NPI 1073919973), doing business as Open Door Family Medical Centers, Inc, is a healthcare organization registered as a federally qualified health center (fqhc) in Ossining, New York and active in the NPI registry since November 2014. The organization holds a CLIA Microscopy certificate valid through March 26, 2027, maintains 4 additional practice locations, and lists Maria Mazzotta, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073919973

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameOPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN

Location Address165 MAIN STOssining, NY 10562-4702

Mailing Address165 Main StOssining, NY 10562-4702 · (914) 937-7817

Phone(914) 941-1263

Organization SubpartYesParent: Open Door Family Medical Centers, Inc

Authorized OfficialMaria MazzottaCfo · (914) 502-1470

Enumeration DateNovember 5, 2014

Last NPPES UpdateFebruary 5, 2024

NPPES CertifiedFebruary 5, 2024

✔ NPI 1073919973 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

165 MAIN ST, Ossining, NY 10562

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Other Names 1

Former Legal Business NameOpen Door Family Medical Centers, Inc

Secondary Practice Locations 4

Location 130 Ryder RdOssining, NY 10562-2122 · Phone (914) 937-7817 · Fax (914) 941-8626

Location 222 Edward StOssining, NY 10562-5512 · Phone (914) 937-7817 · Fax (914) 941-8626

Location 330 Pocantico StSleepy Hollow, NY 10591-2306 · Phone (914) 937-7817 · Fax (914) 941-8626

Location 4154 N BroadwayTarrytown, NY 10591-2681 · Phone (914) 937-7817 · Fax (914) 941-8626

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 for Provider-Performed Microscopy Procedures (PPMP) 33D2156598

Open Door Family Medical Center - Ossining · Ossining, NY

Active · expires Mar 26, 2027

CLIA Number33D2156598

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateOctober 22, 2018

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Daren Wu

Laboratory Phone(914) 941-1263

Laboratory LocationOpen Door Family Medical Center - Ossining165 Main Street, Ossining, NY 10562

CLIA data matches this NPI record on: Address Phone

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.

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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.

SONIA SOOD PUNN D.D.S

Dentist