ODA PRIMARY HEALTH CARE NETWORK, INC. – NPI #1093263998
Clinic/Center

ODA PRIMARY HEALTH CARE NETWORK, INC. is an AHC clinic located in WOODRIDGE, NY. NPPES has assigned the NPI number 1093263998 to ODA PRIMARY HEALTH CARE NETWORK, INC. on September 20, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Jan 04, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ODA PRIMARY HEALTH CARE NETWORK, INC. below.

NPI Profile for
ODA PRIMARY HEALTH CARE NETWORK, INC.

NPI Number
1093263998
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ODA PRIMARY HEALTH CARE NETWORK, INC.
Primary location
6 DAIRYLAND RD
WOODRIDGE, NY 12789
Phone: (718) 260-4600 Fax:
Mailing address
14 HEYWARD ST
BROOKLYN, NY 11249-7823
Phone: (718) 260-4600 Fax:
Organization Subpart
Yes - ODA PRIMARY HEALTH CARE NETWORK, INC. is subpart of another organization.
Authorized Official
ROSE ROSENFELD
CFO
Phone: (718) 260-4600
Updated
Certification Date
Jan 04, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.