NPIMap

Organization Active NPI

Community Health Center of Richmond, Inc

  • Federally Qualified Health Center (FQHC)
  • Staten Island, NY
National Provider Identifier
1114137403
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
2903588 Issued in NY
Legal business name
COMMUNITY HEALTH CENTER OF RICHMOND, INC
Practice address
235 Port Richmond Avenue
Staten Island, NY 10302-1701
Phone
(718) 876-1732
Fax
(718) 442-0189
NPI assigned
May 23, 2007
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Lucie Gabriel
Title
Director of Patient Financial Servi
Phone
(718) 924-2254

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 2903588 NY Primary
Primary Care Clinic/Center 261QP2300X 7004210R NY

Addresses

Primary practice location

235 Port Richmond Avenue
Staten Island, NY 10302-1701

Mailing address

235 Port Richmond Avenue
Staten Island, NY 10302-1701
Phone (718) 924-2254

Other names 1

  • Richmond Community Support Organization Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20090121000497 NY Part A Provider - Federally Qualified Health Center (FQHC) 5597829416 Practice locations: Staten Island, NY
O20141216001932 NY Part A Provider - Federally Qualified Health Center (FQHC) 5597829416 Practice locations: Staten Island, NY
O20160329001418 NY Part A Provider - Federally Qualified Health Center (FQHC) 5597829416 Practice locations: Staten Island, NY

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1114137403. Details of each certification follow.

Federally qualified health center certification: CCN 331988

Legal name
COMMUNITY HEALTH CENTER OF RICHMOND INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 5, 2009
Last certification
Mar 5, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 2006 in NY
Enrollment address
235 Port Richmond Ave
Staten Island, NY 10302-1701

Federally qualified health center certification: CCN 331136

Legal name
COMMUNITY HEALTH CENTER OF RICHMOND INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 29, 2015
Last certification
Jan 29, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 2006 in NY
Enrollment address
439 Port Richmond Ave
Staten Island, NY 10302-1714

Federally qualified health center certification: CCN 571003

Legal name
COMMUNITY HEALTH CENTER OF RICHMOND INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 13, 2016
Last certification
May 13, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 2006 in NY
Enrollment address
135 Canal St
FL 3
Staten Island, NY 10304-2059

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0938281Community Health Center of Richmond235 Port Richmond Ave, Staten Island, NY 10302Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

235 Port Richmond Ave
Staten Island, NY 10302
Phone (718) 876-1732

235 Port Richmond Ave
Ste 1
Staten Island, NY 10302

439 Port Richmond Ave
Staten Island, NY 10302
Phone (718) 876-1732

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lucie Gabriel Individual W-2 Managing EmployeeReimbursement Director Sep 15, 2015
Benito S Lindo Individual Corporate OfficerChief Financial Officer Jan 2, 2011
W-2 Managing EmployeeCfo Jan 2, 2011
Corporate OfficerCfo Jun 3, 2014
W-2 Managing EmployeeCfo Jun 3, 2014
W-2 Managing EmployeeCfo Feb 17, 2016
Henry Thompson Individual Corporate OfficerChief Executive Officer Nov 2, 2009
W-2 Managing EmployeeCeo Nov 2, 2009
Corporate DirectorCeo Jun 3, 2014 100%
W-2 Managing EmployeeCeo Jun 3, 2014 100%
W-2 Managing EmployeeCeo Feb 17, 2016 100%
Patricia a Karnatski Individual Operational/Managerial ControlBoard Member Jan 1, 2006
OtherChairperson, Credentialing & Pro May 17, 2006
Luis a Rodriguez Individual Operational/Managerial ControlFirst VP, Board of Directors Mar 1, 2013
OtherBoard Member May 21, 2013
Maribel Sansone Individual Operational/Managerial ControlBoard Member Jan 1, 2006
OtherPresident, Board of Directors May 17, 2006
Gonzalo Mercado Individual Operational/Managerial ControlSecond VP Board of Directors Nov 1, 2008
OtherVice President, Board of Directo May 19, 2008
Sherif a Farag Individual Operational/Managerial ControlTreasurer, Board of Directors Mar 1, 2013
OtherBoard Member May 21, 2013
Ines Bratcher Individual Operational/Managerial ControlBoard Member Nov 1, 2011
OtherBoard Member Dec 12, 2011
Urszula Czyszkiewicz Individual Operational/Managerial ControlBoard Member Nov 1, 2010
OtherBoard Member May 12, 2010
Community Health Center of Richmond Inc. Organization, Staten Island, NY For-profit Operational/Managerial Control Jun 3, 2014
Jack Desantis Individual Operational/Managerial ControlPresident Board of Directors Nov 1, 2010
OtherPresident Board of Directors Oct 1, 2010
OtherTreasurer, Board of Directors May 12, 2010
Terry Troia Individual Operational/Managerial ControlBoard Member Oct 1, 2006
Christine M Hollie Individual Operational/Managerial ControlSecretary Board of Directors Jan 1, 2006
OtherBoard Secretary, Board of Direct May 17, 2006
Barbara a Griffiths Individual OtherBoard Member Apr 18, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1114137403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PORT RICHMOND AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021701",
            "telephone_number": "718-924-2254",
            "fax_number": "718-442-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PORT RICHMOND AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021701",
            "telephone_number": "718-876-1732",
            "fax_number": "718-442-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF RICHMOND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "LUCIE",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT FINANCIAL SERVI",
        "authorized_official_telephone_number": "718-924-2254"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "2903588",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "7004210R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richmond Community Support Organization",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.