OPEN DOOR FAMILY MEDICAL CENTER, INC.
NPI 1487194155
Clinic/Center - Federally Qualified Health Center (FQHC) in Mamaroneck, NY

Active since March 01, 2017CLIA 33D2156600 · Waiver
689 MAMARONECK AVE, MAMARONECK, NY 10543(914) 732-0233(914) 732-0234 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2017, Mar 1, 2017 (2 updates tracked since 2017).

About Open Door Family Medical Center, Inc. NPPES

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

OPEN DOOR FAMILY MEDICAL CENTER, INC. (NPI 1487194155) is a healthcare organization registered as a federally qualified health center (fqhc) in Mamaroneck, New York and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Lindsay C Farrell, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1487194155
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOPEN DOOR FAMILY MEDICAL CENTER, INC.
Location Address689 MAMARONECK AVEMamaroneck, NY 10543-5910
Mailing Address165 Main StOssining, NY 10562-4702 · (914) 941-1263 · Fax (914) 941-8626
Fax(914) 732-0234
Organization SubpartYes
Authorized OfficialLindsay C FarrellPresident And Ceo · (914) 502-1450
Enumeration DateMarch 1, 2017
Last NPPES UpdateApril 10, 20172 updates tracked since enumeration
NPI 1487194155 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
689 MAMARONECK AVE, Mamaroneck, NY 10543

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 33D2156600

Open Door Family Medical Center - Mamaroneck · Mamaroneck, NY
Active · expires Mar 26, 2027
CLIA Number33D2156600
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Daren Wu
Laboratory Phone(914) 732-0233
Laboratory LocationOpen Door Family Medical Center - Mamaroneck689 Mamaroneck Ave, Mamaroneck, NY 10543
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Practitioner (Family)
689 MAMARONECK AVE
MAMARONECK, NY 10543
Dentist (General Practice)
689 MAMARONECK AVE
MAMARONECK, NY 10543
Nurse Practitioner (Family)
689 MAMARONECK AVE
MAMARONECK, NY 10543

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 Open Door Family Medical Center, Inc.'s NPI number?

The NPI number for Open Door Family Medical Center, Inc. is 1487194155. It was assigned to this organization in the NPPES registry on March 1, 2017.

Where is Open Door Family Medical Center, Inc. located?

Open Door Family Medical Center, Inc. is located at 689 Mamaroneck Ave, Mamaroneck, NY 10543. The listed phone number is (914) 732-0233.

What is Open Door Family Medical 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.

Does Open Door Family Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2156600) 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 Open Door Family Medical Center, Inc. was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.