Open Door Family Medical Center School Based Mobile Dental Van

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

5905200R Issued in NY

Legal business name

OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN

Practice address

165 Main St
Ossining, NY 10562-4702

Phone

(914) 941-1263

NPI assigned

Nov 5, 2014

Last updated

Feb 5, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

OPEN DOOR FAMILY MEDICAL CENTERS, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Maria Mazzotta, CPA

Title

Cfo

Phone

(914) 502-1470

Specialties & licenses 1

Addresses

Other names 1

• Open Door Family Medical Centers, Inc Former legal business name

Tax ID family

C P Lucas4 organizations share this tax ID, including this one

Part of

C P Lucas

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Open Door Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Saugerties, NY
  • NPI 1780166645
  NPD tax ID
• Open Door Family Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ossining, NY
  • NPI 1215569777
  NPD tax ID
• Open Door Family Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mount Kisco, NY
  • NPI 1548592348
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1073919973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105624702",
            "telephone_number": "914-937-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105624702",
            "telephone_number": "914-941-1263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Edward St",
            "address_purpose": "LOCATION",
            "city": "Ossining",
            "state": "NY",
            "postal_code": "105625512",
            "country_code": "US",
            "telephone_number": "914-937-7817",
            "fax_number": "914-941-8626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Pocantico St",
            "address_purpose": "LOCATION",
            "city": "Sleepy Hollow",
            "state": "NY",
            "postal_code": "105912306",
            "country_code": "US",
            "telephone_number": "914-937-7817",
            "fax_number": "914-941-8626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Ryder Rd",
            "address_purpose": "LOCATION",
            "city": "Ossining",
            "state": "NY",
            "postal_code": "105622122",
            "country_code": "US",
            "telephone_number": "914-937-7817",
            "fax_number": "914-941-8626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "154 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Tarrytown",
            "state": "NY",
            "postal_code": "105912681",
            "country_code": "US",
            "telephone_number": "914-937-7817",
            "fax_number": "914-941-8626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPEN DOOR FAMILY MEDICAL CENTERS, INC",
        "enumeration_date": "2014-11-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "MAZZOTTA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "914-502-1470",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "5905200R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Door Family Medical Centers, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dorothy Olson Miller
• Ome Early Intervention Services Inc
• Roberta Rachel Omin, LCSW
• Sarah O Omusi, SP ED TEACHER
• One Lantern Senior Living, Inc. (Atria on the Hudson)
• Open Door Family Medical Center, Inc.
• Open Door Family Medical Center, Inc.
• Ossining Chiropractic Office
• Ossining Family Optometry PLLC
• Ossining Osteopathic Medical Care PLLC

• Federally Qualified Health Center (FQHC) in Ossining, NY
• Providers in Ossining, NY by specialty
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.