NPIMap

Organization Active NPI

Daytop Village, Inc

  • Substance Abuse Rehabilitation Facility
  • Far Rockaway, NY
National Provider Identifier
1154442879
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
DAYTOP VILLAGE, INC
Practice address
316 Beach 65TH St
Far Rockaway, NY 11692-1425
Phone
(718) 474-3800
Fax
(718) 474-7821
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven Winston
Title
Senior Vice President
Phone
(212) 354-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NY Primary

Addresses

Primary practice location

316 Beach 65TH St
Far Rockaway, NY 11692-1425

Mailing address

54 W 40TH St
New York, NY 10018-2602
Phone (212) 354-6000

Other identifiers 2

IdentifierTypeStateIssuer
00659687MedicaidNY
7002121ROtherNYDEPT OF HEALTH ART.28 CER

National Provider Directory

National Provider Directory
Tax ID family
Daytop Village Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

316 Beach 65th St
Far Rockaway, NY 11692
Phone (718) 474-3800

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154442879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W 40TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182602",
            "telephone_number": "212-354-6000",
            "fax_number": "212-382-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BEACH 65TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116921425",
            "telephone_number": "718-474-3800",
            "fax_number": "718-474-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTOP VILLAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINSTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "212-354-6000"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00659687",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH ART.28 CER",
            "identifier": "7002121R",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.