CHARLES EVANS CENTER, INC
NPI 1215596614
Clinic/Center - Federally Qualified Health Center (FQHC) in Seaford, NY

Q: What is Charles Evans Center, Inc's NPI number?

The NPI number for Charles Evans Center, Inc is 1215596614. It was assigned to this organization in the NPPES registry on June 10, 2019.

Q: What is Charles Evans 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.

Active since June 10, 2019CLIA 33D2112061 · Waiver

2146 JACKSON AVE, SEAFORD, NY 11783(516) 622-8888(516) 342-2480 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Charles Evans Center, Inc NPPES

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

CHARLES EVANS CENTER, INC (NPI 1215596614) is a healthcare organization registered as a federally qualified health center (fqhc) in Seaford, New York and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027, maintains a secondary practice location in Glen Cove, and lists Rebeca Rosa Rivera, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1215596614

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCHARLES EVANS CENTER, INC

Location Address2146 JACKSON AVESeaford, NY 11783-2606

Mailing Address2146 Jackson AveSeaford, NY 11783-2606 · (516) 622-8888 · Fax (516) 342-2480

Phone(516) 622-8888

Fax(516) 342-2480

Organization SubpartYes

Authorized OfficialRebeca Rosa RiveraRevenue Cycle Manager · (516) 622-8888

Enumeration DateJune 10, 2019

Last NPPES UpdateJune 26, 2026

NPPES CertifiedJune 26, 2026

✔ NPI 1215596614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

2146 JACKSON AVE, Seaford, NY 11783

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Secondary Practice Location 1

Location 1113 Glen Cove AveGlen Cove, NY 11542-3438 · Phone (516) 622-8888 · Fax (516) 342-2480

Other Identifiers 1

Medicaid05950981NY

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 33D2112061

Charles Evans Center Inc · Bethpage, NY

Active · expires Mar 26, 2027

CLIA Number33D2112061

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateApril 21, 2016

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Christine D. Brown-Williamson

Laboratory Phone(516) 622-8888

Laboratory LocationCharles Evans Center Inc857 S Oyster Bay Road, Bethpage, NY 11714

CLIA data matches this NPI record on: Name 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.

MRS. TRICIA SIMONE FAMILUSI

Registered Nurse (Psychiatric/Mental Health, Adult)