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
1508955592
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
7003246R Issued in NY
Legal business name
DAMIAN FAMILY CARE CENTERS, INC.
Doing business as
Project Samaritan Health Services
Practice address
137-50 Jamaica Avenue
Jamaica, NY 11435
Phone
(718) 298-5100
Fax
(718) 298-5130
NPI assigned
Oct 11, 2006
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Peter Grisafi
Title
Ceo/President
Phone
(718) 657-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 7003246R NY Primary

Addresses

Primary practice location

137-50 Jamaica Avenue
Jamaica, NY 11435

Mailing address

89-56 162ND Street
3Rd Floor
Jamiaca, NY 11432
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 NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040608001298 NY Part A Provider - Federally Qualified Health Center (FQHC) 6507849882 Practice locations: Jamaica, NY
O20151015001737 NY Part B Supplier - Clinic/Group Practice 6507849882 Receives reassigned benefits from 52 practitioners
Practice locations: Ronkonkoma, NY; Richmond Hill, NY; Rhinebeck, NY; New York, NY; Jamaica, NY; Ellenville, NY; Brooklyn, NY; Bronx, NY…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508955592. Details of each certification follow.

Federally qualified health center certification: CCN 331942

Legal name
DAMIAN FAMILY CARE CENTERS, INC.
Doing business as
DAMIAN FAMILY CARE CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 19, 2004
Last certification
Jul 19, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1999 in NY
Enrollment address
137-50 Jamaica Ave
Jamaica, NY 11435-3610

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

13750 Jamaica Ave
Jamaica, NY 11435
Phone (718) 298-5100

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 Nov 1, 2013
W-2 Managing Employee Nov 1, 2013
Junnie E Campbell Individual Corporate Director Jun 15, 2004
Arismendi Jimenez Individual Corporate DirectorBoard Member Mar 21, 2017
Michael Degraffenreid Individual Corporate Director Sep 1, 2011
Cynthia Cortes Individual Corporate Director Oct 1, 2013
Idania Lopez Mercado Individual Corporate DirectorBoard Member Aug 16, 2016
Gordon Siess Individual Corporate OfficerChief Financial Officer Oct 8, 2020
Chinyere Eze-Nliam Individual Corporate DirectorBoard Member Mar 29, 2016

Practitioners & affiliated clinicians

Practitioners 77

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 77

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1508955592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89-56 162ND STREET",
            "address_2": "3RD FLOOR",
            "city": "JAMIACA",
            "state": "NY",
            "postal_code": "11432",
            "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": "137-50 JAMAICA AVENUE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "718-298-5100",
            "fax_number": "718-298-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIAN FAMILY CARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "GRISAFI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "718-657-1100"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7003246R",
            "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.