Samaritan Village

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

SAMARITAN VILLAGE

Practice address

302 E 119TH St Apt 4B
New York, NY 10035-4213

Phone

(212) 828-1656

Fax

(718) 292-9228

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Vazquez, CASAC 16784

Title

Substance Abuse Counselor

Phone

(718) 292-4455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1922470426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E 119TH ST APT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354213",
            "telephone_number": "212-828-1656",
            "fax_number": "718-292-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E 119TH ST APT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354213",
            "telephone_number": "212-828-1656",
            "fax_number": "718-292-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "718-292-4455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CASAC 16784"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subhanu Samarajiva
• Andjela Samardzic
• Samaritan Daytop Village
• Samaritan Daytop Village, Inc.
• Samaritan Daytop Village, Inc.
• Samaritan Village Harlem Outpatient
• Samaritan Village, Inc.
• Mahendranauth Samaru, MD
• Karthika N Sambamurti, C.R.N.A.
• Syma Karine Sambar-Lande, LMSW

• Exclusive Provider Organization in New York, NY
• Providers in New York, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.