Damian Family Care Centers, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Jamaica, NY
NPI 1487923595 · NPPES record last updated Jun 11, 2026
Key facts
- NPI
- 1487923595
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- DAMIAN FAMILY CARE CENTERS, INC.
- Practice address
- 89-56 162ND Street
Jamaica, NY 11432 - Phone
- (347) 505-7000
- Fax
- (347) 505-2500
- NPI assigned
- Dec 19, 2011
- Organization subpart
- No
Authorized official
- Name
- Kavanaugh Chandler, MD
- Title
- President & Ceo
- Phone
- (718) 657-1100
Other NPIs with the same Medicare PAC ID 11
Practitioners 70
-
Naira Ambarian, DO
-
Mitchell Horowitz, DPM
-
Dawn Lane, FNP
-
Sonia J. Lopez, M.D.
-
Tina Rendini, FNP
-
Catherine Beninati, D.O.
-
Edmond Ainehsazan, D.P.M.
-
Sharmin Akhter, DDS
-
Yitzchak Ariel, M.D.
-
Harjinder Bhatti, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
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
- Corporation · Non-profit
- Incorporated
- May 24, 2011 in NY
- Enrollment address
- 8956 162ND St
Jamaica, NY 11432-5072
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| John Tavolacci |
Corporate Director |
Jun 21, 2016 | |
| Peter Grisafi |
Corporate Officer |
Nov 1, 2013 | |
| Corporate Director |
Feb 29, 1996 | ||
| W-2 Managing Employee |
Nov 1, 2013 | ||
| Junnie E Campbell |
Corporate Director |
Jul 1, 2003 | |
| Arismendi Jimenez |
Corporate Director |
Mar 21, 2017 | |
| Michael Degraffenreid |
Corporate Director |
Sep 1, 2011 | |
| Cynthia Cortes |
Corporate Director |
Oct 1, 2013 | |
| Idania Lopez Mercado |
Corporate Director |
Aug 16, 2016 | |
| Gordon Siess |
Corporate Officer |
Oct 8, 2020 | |
| Chinyere Eze-Nliam |
Corporate Director |
Mar 29, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220214001540 | NY | Part a Provider - Federally Qualified Health Center (FQHC) | 6507849882 | Practice locations: Jamaica, NY |
National Provider Directory
Locations
599 Ralph Ave
Brooklyn, NY 11233
Phone (347) 501-6306
3411 Vernon Blvd
Long Island City, NY 11106
Phone (646) 505-2003
13 Hell Gate Cir
New York, NY 10035
Phone (212) 426-6633
500 8th Ave
Fl 3
New York, NY 10018
Phone (212) 904-1500
225 E 53rd St
Ofc 1
New York, NY 10022
Phone (212) 829-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01690633 | Medicaid | NY |
Other names
- Project Samaritan Health Services
Other providers in Jamaica, NY
- Romar Dalauta
- Sharon Daley
- Daljeet Singh Physician PC
- Nicole Daly
- Damian Family Care Centers, Inc.
- Damian Family Care Centers, Inc.
- Damian Family Care Centers, Inc.
- Andreas Damianides
- Elena Damiano
- Amy Agatha Damon
All providers in Jamaica, NY · Federally Qualified Health Center (FQHC) in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.