Metro Community Health Centers, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Brooklyn, NY
NPI 1972059467 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1972059467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- METRO COMMUNITY HEALTH CENTERS, INC.
- Practice address
- 177 Livingston St Lowr Level
Brooklyn, NY 11201-7000 - Phone
- (718) 855-7707
- NPI assigned
- Aug 25, 2016
- Organization subpart
- No
Authorized official
- Name
- Xayveon Williams
- Title
- Contract & Credentialing Manager
- Phone
- (718) 665-7565
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 4
Practitioners 20
-
Damilola Motunrayo Babalola, FNP-BC, FNP-C
-
Thomas A Hays, MD
-
Andrea M Nichols, MD
-
Ira Louis Salom, MD
-
Leon Zacharowicz, MD
-
Kimberly Reilly, APRN, FNP-BC
-
Denis Ali Eder, LMHC
-
Rashidat Jolaoluwa, FNP
-
Fabiola Yun, DNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
Federally qualified health center certification: CCN 571047
- Legal name
- METRO COMMUNITY HEALTH CENTERS INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 31, 2016
- Last certification
- Oct 31, 2016
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 2, 2012 in NY
- Enrollment address
- 177 Livingston St
Lowr Level
Brooklyn, NY 11201-7000
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| James Johansen |
Corporate Director |
Aug 5, 2015 | |
| Lynn C Arola |
Corporate Director |
Aug 5, 2015 | |
| Jose Virella |
Corporate Officer |
Mar 1, 2018 | |
| W-2 Managing Employee |
Mar 1, 2018 | ||
| Mae Covington-Coggins |
Corporate Director |
Aug 5, 2015 | |
| Monique Dennis-Farrington |
Corporate Director |
Aug 5, 2015 | |
| Nellie Santiago-Rivera |
Corporate Officer |
Nov 21, 2016 | |
| W-2 Managing Employee |
Nov 21, 2016 | ||
| Operational/Managerial Control |
Nov 21, 2016 | ||
| Jacqueline Tripodi |
Corporate Director |
Aug 8, 2018 | |
| Linda Tempel |
Corporate Director |
Aug 5, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140912000473 | NY | Part B Supplier - Clinic/Group Practice | 8921227687 |
Receives reassigned benefits from 58 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bronx, NY; Brooklyn, NY; New York, NY; Staten Island, NY |
| O20161027001849 | NY | Part a Provider - Federally Qualified Health Center (FQHC) | 8921227687 | Practice locations: Brooklyn, NY |
National Provider Directory
- Tax ID family
- Metro Community Health Centers Inc
Locations
979 Cross Bronx Expy
Apt 11B
Bronx, NY 10460
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
177 Livingston St Lowr Level
Brooklyn, NY 11201-7000
Mailing address
979 Cross Bronx Expy Apt 11B
Bronx, NY 10460-4885
Phone (718) 665-7565
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04495552 | Medicaid | NY |
Other providers in Brooklyn, NY
- Metro Athletic Medicine&Fitness PC
- Metro Athletic Medicine&Fitness PC
- Metro Car Service
- Metro Care Physical Therapy PC
- Metro Care Physical Therapy PC
- Metro Diagnostic Solutions Inc
- Metro Drugs Boro Park Corp
- Metro Health Physicians P.C.
- Metro Healthcare Partners LLC
- Metro Peace Psychotherapy PLLC
All providers in Brooklyn, 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 Mar 23, 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.