NPIMap

Organization Active NPI

The Institute for Family Health

  • Family Medicine Physician
  • Kingston, NY
National Provider Identifier
1194098251
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE INSTITUTE FOR FAMILY HEALTH
Practice address
1 Foxhall Ave
Kingston, NY 12401-5107
Phone
(845) 338-8444
Fax
(845) 338-2906
NPI assigned
Feb 20, 2012
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE INSTITUTE FOR FAMILY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Eric Gayle, MDNPI 1740280973
Title
President and Ceo
Phone
(212) 633-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1 Foxhall Ave
Kingston, NY 12401-5107

Mailing address

CL # 4655
PO Box 95000
Philadelphia, PA 19195-4655
Phone (845) 255-3435

Other identifiers 1

IdentifierTypeStateIssuer
00903700MedicaidNY

Other names 1

  • Specialty Care Center of Kingston Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040417000313 NY Part B Supplier - Clinic/Group Practice 9234048588 Receives reassigned benefits from 337 practitioners
33 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Bronx, NY; Brooklyn, NY; Hyde Park, NY; New Paltz, NY; Kingston, NY; Ellenville, NY
O20070420000171 NY Part A Provider - Federally Qualified Health Center (FQHC) 9234048588 2 other NPIs on this enrollment
Practice locations: Kingston, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194098251. Details of each certification follow.

Federally qualified health center certification: CCN 331963

Legal name
THE INSTITUTE FOR FAMILY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 5, 2007
Last certification
Jun 5, 2007
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 25, 1985 in NY
Enrollment address
1 Foxhall Ave
Kingston, NY 12401-5107

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 33

National Provider Directory

National Provider Directory
Tax ID family
Inst for Urban Family HLT30 organizations share this tax ID, including this one
Part of
Inst for Urban Family HLT

Other organizations with this tax ID 29

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

View all 29

Locations

50 E 168th St
#98
Bronx, NY 10452
Phone (718) 293-3900

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

35 E 125th St
Fl 5
New York, NY 10035
Phone (212) 360-3278

176 E 115th St
New York, NY 10029
Phone (646) 838-6353

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Caroline Dicioccio Individual Corporate OfficerChief Financial Officer Apr 1, 2019
Kathleen O'Donnell Individual Corporate DirectorBoard Member Aug 1, 2015
Steven Kelley Individual Corporate DirectorBoard Member Mar 19, 2010
Michael Blatchely Individual Corporate DirectorBoard Member Mar 1, 2013
Andrea Zakin-Amano Individual Corporate DirectorBoard Member Mar 1, 2013
Joseph Asubonteng Individual Corporate DirectorBoard Member Nov 3, 2010
Tina Goodrich Individual Corporate DirectorBoard Member Mar 9, 2011
Ollie Brown-Carrington Individual Corporate DirectorBoard Member Mar 24, 2003
Samuel Santiago Individual Corporate DirectorBoard Member Apr 6, 2011
Carole Furman Individual Corporate DirectorBoard Member Mar 1, 2013
Josephine Sanchez Individual Corporate Director Feb 20, 2024
W-2 Managing Employee Feb 20, 2024

Practitioners & affiliated clinicians

Practitioners 104

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 104

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1194098251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CL # 4655",
            "address_2": "PO BOX 95000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191954655",
            "telephone_number": "845-255-3435",
            "fax_number": "845-256-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOXHALL AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015107",
            "telephone_number": "845-338-8444",
            "fax_number": "845-338-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INSTITUTE FOR FAMILY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE INSTITUTE FOR FAMILY HEALTH",
        "enumeration_date": "2012-02-20",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "212-633-0800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00903700",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Care Center of Kingston",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.