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Samaritan Daytop Village, Inc.

Substance Use Disorder Rehabilitation Clinic/Center in Staten Island, NY · enumerated 2007 · authorized official Charles Madray, Vp of Health Services & Community B.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1548381767

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Registry record

Entity type Organization (Type 2)
Legal business name Samaritan Daytop Village, Inc.
Other name <Unavail>
Practice address 1915 Forest Ave, Staten Island, NY, 10303
Fax (718) 981-6849
Enumeration date Apr 3, 2007
Last updated in NPPES Apr 29, 2016

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Charles Madray
Title Vp of Health Services & Community B

Other identifiers

Identifier Type State Issuer
00659687 Medicaid NY -
7002121R Other NY DEPT OF HEALTH ART 28 CER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-04-29. Verify at npiregistry.cms.hhs.gov.
Where is Samaritan Daytop Village, Inc. located?
The practice location on file with NPPES is in Staten Island, NY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-29.