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OPEN DOOR FAMILY MEDICAL CENTER, INC.
NPI 1629237151
Clinic/Center - Federally Qualified Health Center (FQHC) in Mount Kisco, NY

Active since June 09, 2008CLIA 33D2156602 · Waiver
30 W MAIN ST, MOUNT KISCO, NY 10549(914) 666-3272(914) 666-3263 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1629237151) is a healthcare organization registered as a federally qualified health center (fqhc) in Mount Kisco, New York and active in the NPI registry since June 2008. 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

NPI1629237151
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOPEN DOOR FAMILY MEDICAL CENTER, INC.
Location Address30 W MAIN STMount Kisco, NY 10549-1910
Mailing Address165 Main StOssining, NY 10562-4702 · (914) 502-1450 · Fax (914) 762-7224
Phone(914) 666-3272
Fax(914) 666-3263
Organization SubpartYes
Authorized OfficialLindsay C. FarrellPresident And Ceo · (914) 502-1450
Enumeration DateJune 9, 2008
Last NPPES UpdateFebruary 1, 2012
✔ NPI 1629237151 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
30 W MAIN ST, Mount Kisco, NY 10549
Open in Google Maps ↗

Other Identifiers 2

Medicaid03003596NY
Medicare PIN331953NY

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 33D2156602

Open Door Family Medical Center - Mt Kisco · Mount Kisco, NY
Active · expires Mar 26, 2027
CLIA Number33D2156602
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Daren Wu
Laboratory Phone(914) 666-3272
Laboratory LocationOpen Door Family Medical Center - Mt Kisco30 W Main Street, Mount Kisco, NY 10549
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 8

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

ANDREA K RITCHIN MD
Family Medicine
30 W MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 666-3272
DAREN WU MD
Family Medicine
30 W MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
MOUNT KISCO, NY 10549
Westchester County (914) 941-1263
MRS. MELISSA MARIE BENNETT PROVOST FNP-BC
Nurse Practitioner (Family)
30 W MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 666-3272
MRS. LAUREN MARIE MARTINEZ FNP-C
Nurse Practitioner (Family)
30 W MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 632-2737
PATRICIA L DUNN
Nurse Practitioner (Family)
30 W MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 666-3272
MS. RACHEL LINDSEY GOMEZ P.A.
Physician Assistant (Medical)
30 W MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 632-2737
SAMANTHA RAI MD
Family Medicine
30 W MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
MOUNT KISCO, NY 10549
Westchester County (914) 666-3272
CARMEN ANDREA TAMAYO GOMEZ M.D
Family Medicine
30 W MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 666-3272

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 1629237151. It was assigned to this organization in the NPPES registry on June 9, 2008.

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

Open Door Family Medical Center, Inc. is located at 30 W Main St, Mount Kisco, NY 10549. The listed phone number is (914) 666-3272.

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 33D2156602) 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 February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.