NPIMap

Organization Active NPI

Damian Family Care Centers, Inc.

Doing business as Project Samaritan Health Services

  • Federally Qualified Health Center (FQHC)
  • Jamaica, NY
National Provider Identifier
1487923595
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
DAMIAN FAMILY CARE CENTERS, INC.
Doing business as
Project Samaritan Health Services
Practice address
89-56 162ND Street
Jamaica, NY 11432
Phone
(347) 505-7000
Fax
(347) 505-2500
NPI assigned
Dec 19, 2011
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Kavanaugh Chandler, MD
Title
President & Ceo
Phone
(718) 657-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

89-56 162ND Street
Jamaica, NY 11432

Mailing address

8956 162ND St FL 3
Jamaica, NY 11432-5072
Phone (718) 657-1100

Other names 1

  • Project Samaritan Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220214001540 NY Part A Provider - Federally Qualified Health Center (FQHC) 6507849882 Practice locations: Jamaica, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487923595. Details of each certification follow.

Federally qualified health center certification: CCN 571827

Legal name
DAMIAN FAMILY CARE CENTERS, INC.
Doing business as
PROJECT SAMARITAN HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 12, 2022
Last certification
Jan 12, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 24, 2011 in NY
Enrollment address
8956 162ND St
Jamaica, NY 11432-5072

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

8956 162nd St
#3
Jamaica, NY 11432
Phone (718) 297-8000

3411 Vernon Blvd
Long Island City, NY 11106
Phone (646) 505-2003

13 Hell Gate Cir
New York, NY 10035
Phone (347) 201-4669

225 E 53rd St
Ofc 1
New York, NY 10022
Phone (212) 829-1200

216 Fox Hollow Rd
Rhinebeck, NY 12572
Phone (845) 516-1002

11711 Myrtle Ave
Richmond Hill, NY 11418
Phone (718) 847-9233

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
John Tavolacci Individual Corporate DirectorBoard Member Jun 21, 2016
Peter Grisafi Individual Corporate OfficerCeo/ President Nov 1, 2013
Corporate DirectorCeo Feb 29, 1996
W-2 Managing EmployeeCeo Nov 1, 2013
Junnie E Campbell Individual Corporate DirectorChairperson Jul 1, 2003
Arismendi Jimenez Individual Corporate DirectorBoard Member Mar 21, 2017
Michael Degraffenreid Individual Corporate DirectorBoard Member Sep 1, 2011
Cynthia Cortes Individual Corporate DirectorBoard Member Oct 1, 2013
Idania Lopez Mercado Individual Corporate DirectorBoard Member Aug 16, 2016
Gordon Siess Individual Corporate OfficerCfo Oct 8, 2020
Chinyere Eze-Nliam Individual Corporate DirectorBoard Member Mar 29, 2016

Practitioners & affiliated clinicians

Practitioners 68

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 68

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1487923595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8956 162ND ST FL 3",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325072",
            "telephone_number": "718-657-1100",
            "fax_number": "718-657-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-56 162ND STREET",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "347-505-7000",
            "fax_number": "347-505-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIAN FAMILY CARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "KAVANAUGH",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "718-657-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project Samaritan Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.