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SAMARITAN DAYTOP VILLAGE
NPI 1811434012
Substance Abuse Rehabilitation Facility in Briarwood, NY

Active since January 25, 2017
13802 QUEENS BLVD, BRIARWOOD, NY 11435(718) 206-2000(718) 206-4055 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samaritan Daytop Village NPPES

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

SAMARITAN DAYTOP VILLAGE (NPI 1811434012) is a healthcare organization registered as a substance abuse rehabilitation facility in Briarwood, New York and active in the NPI registry since January 2017. The organization lists James Hollywood, Vp, Residential Treatment, as its authorized official.

NPPES Registry Identity

NPI1811434012
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSAMARITAN DAYTOP VILLAGE
Location Address13802 QUEENS BLVDBriarwood, NY 11435-2642
Mailing Address13802 Queens BlvdBriarwood, NY 11435-2642 · (718) 206-2000 · Fax (718) 206-4055
Phone(718) 206-2000
Fax(718) 206-4055
Organization SubpartNo
Authorized OfficialJames HollywoodVp, Residential Treatment · (718) 206-2000
Enumeration DateJanuary 25, 2017
✔ NPI 1811434012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in NY · C170110042
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
13802 QUEENS BLVD, Briarwood, NY 11435
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Other Identifiers 1

Other00245309NY · Medicaid

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.

DAMIAN FAMILY CARE CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
13802 QUEENS BLVD, 2ND FLOOR
BRIARWOOD, NY 11435
Queens County (718) 657-1100
JACQUELINE INGRID KIPP
Licensed Practical Nurse
13802 QUEENS BLVD
BRIARWOOD, NY 11435
Queens County (347) 251-7737
SOPHIA RICKETTS
Licensed Practical Nurse
13802 QUEENS BLVD
JAMAICA, NY 11435
Queens County (718) 206-2000
DR. SONIA J. LOPEZ M.D.
Family Medicine (Addiction Medicine)
13802 QUEENS BLVD
JAMAICA, NY 11435
Queens County (718) 298-5100
HEATHER SHANNON
Counselor (Mental Health)
13802 QUEENS BLVD
BRIARWOOD, NY 11435
Queens County (718) 206-2000
MRS. SHANNA NICHOLS LCSW
Social Worker (Clinical)
13802 QUEENS BLVD
BRIARWOOD, NY 11435
Queens County (855) 322-4357
MIKAYLA GABRIELLE SHERMAN RN
Registered Nurse
13802 QUEENS BLVD
BRIARWOOD, NY 11435
Queens County (845) 313-2973
ELIZABETH KING RN
Registered Nurse
13802 QUEENS BLVD
BRIARWOOD, NY 11435
Queens County (718) 657-5100

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 Daytop Village's NPI number?

The NPI number for Samaritan Daytop Village is 1811434012. It was assigned to this organization in the NPPES registry on January 25, 2017.

Where is Samaritan Daytop Village located?

Samaritan Daytop Village is located at 13802 Queens Blvd, Briarwood, NY 11435. The listed phone number is (718) 206-2000.

What is Samaritan Daytop Village's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Samaritan Daytop Village was last updated on January 25, 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.