SAMARITAN VILLAGE
NPI 1104298363
Clinic/Center - Rehabilitation, Substance Use Disorder in Bronx, NY

Q: What is Samaritan Village's NPI number?

The NPI number for Samaritan Village is 1104298363. It was assigned to this organization in the NPPES registry on October 28, 2015.

Q: What is Samaritan Village's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Q: When was this NPI record last updated?

The NPPES record for Samaritan Village was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 28, 2015

528 MORRIS AVE, BRONX, NY 10451(718) 292-4640 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samaritan Village NPPES

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

SAMARITAN VILLAGE (NPI 1104298363) is a healthcare organization registered as a rehabilitation, substance use disorder in Bronx, New York and active in the NPI registry since October 2015. The organization lists Charles Madray, Vp Of Health Services & Community B, as its authorized official.

NPPES Registry Identity

NPI1104298363

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameSAMARITAN VILLAGE

Location Address528 MORRIS AVEBronx, NY 10451

Mailing Address138-02 Queens BlvdBriarwood, NY 11435

Phone(718) 292-4640

Organization SubpartNo

Authorized OfficialCharles MadrayVp Of Health Services & Community B · (718) 206-2000

Enumeration DateOctober 28, 2015

Last NPPES UpdateApril 29, 2016

✔ NPI 1104298363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

528 MORRIS AVE, Bronx, NY 10451

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Other Identifiers 1

Medicaid00245309NY

Other Providers at the Same Location NPPES 3

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

SHIRLEY COLEMAN HENSFORD LMSW

Social Worker (Clinical)

528 MORRIS AVE
BRONX, NY 10451

Bronx County (718) 402-9000

EMMANUEL KOFI JACKSON NSIAH

Nurse Practitioner (Psychiatric/Mental Health)

528 MORRIS AVE
BRONX, NY 10451

Bronx County (720) 561-0836

MS. DENEAL LAWSON M.A

Marriage & Family Therapist

528 MORRIS AVE
BRONX, NY 10451

Bronx County (718) 402-9000

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 Village's NPI number?

The NPI number for Samaritan Village is 1104298363. It was assigned to this organization in the NPPES registry on October 28, 2015.

Where is Samaritan Village located?

Samaritan Village is located at 528 Morris Ave, Bronx, NY 10451. The listed phone number is (718) 292-4640.

What is Samaritan Village's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Samaritan Village was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.