SAINT VINCENT CATHOLIC MEDICAL CENTER (NPI# 1003983370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003983370 |
| Entity Type | Organization |
| Organization Name | SAINT VINCENT CATHOLIC MEDICAL CENTER |
| Other Organization Name | SISTERS OF CHARITY MEDICAL CENTER |
| Practice Address |
355 Bard Ave Staten Island NY 10310-1664 |
| Mailing Address |
450 W 33rd St New York NY 10001-2603 |
| Practice Telephone | 7188181234 |
| Practice Fax Number | 2123564420 |
| Mailing Telephone | 2123564419 |
| Mailing Fax Number | 2123564420 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DOLLYANN L YORKE (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 2123564419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 7004008H | NY | Hospital Units |
| Other Name | Type Code |
|---|---|
| Sisters Of Charity Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790010817 | Saint Vincent Catholic Medical Center | Clinic/Center | West Road, Building 19, Garden City, NY 11530 | 2009-10-07 |
| 1235464538 | Saint Vincent Catholic Medical Center | Clinic/Center | 9920 Fourth Avenue, #305, Brooklyn, NY 11209 | 2009-10-05 |
| 1932322047 | Saint Vincent Catholic Medical Center | Pharmacy | 275 North Street, Harrison, NY 10528-1524 | 2007-04-10 |
| 1356675961 | Saint Vincent Catholic Medical Center | Clinic/Center | 206 Drum Rd, Staten Island, NY 10305-5079 | 2009-09-29 |
| 1558410308 | Saint Vincent Catholic Medical Center | Ambulance | 153 W 11th St, New York, NY 10011-8305 | 2007-01-10 |
| 1073677043 | Saint Vincent Catholic Medical Center | General Acute Care Hospital | 275 North St, Harrison, NY 10528-1524 | 2006-12-21 |
| 1922162395 | Saint Vincent Catholic Medical Center | Clinic/Center | 325 W 15th St, New York, NY 10011-5903 | 2006-12-20 |
| 1205999331 | Saint Vincent Catholic Medical Center | Home Health | 9525 Queens Blvd, Rego Park, NY 11374-4511 | 2006-12-19 |
| 1154482164 | Saint Vincent Catholic Medical Center | Psychiatric Unit | 275 North St, Harrison, NY 10528-1524 | 2006-12-13 |
| 1427126440 | Saint Vincent Catholic Medical Center | Home Health | 9525 Queens Blvd, Rego Park, NY 11374-4511 | 2006-11-30 |
| Street Address |
355 BARD AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10310-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801875489 | John Louis Ferguson | Anesthesiology | 355 Bard Ave, Staten Island, NY 10310 | 2006-01-12 |
| 1427657824 | Ahmad Jamal Hashmat | Specialist/Technologist, Other | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-10-19 |
| 1437776572 | Mino M. Abdelmessih | Podiatrist | 355 Bard Ave, Staten Island, NY 10310-1699 | 2020-07-05 |
| 1639796774 | Mohamad M Anwar | Podiatrist | 355 Bard Ave, Staten Island, NY 10310-1699 | 2020-07-05 |
| 1689299331 | Richmond Medical Center | Ambulance | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-06-09 |
| 1750903357 | Natascha Cirignani | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-05-18 |
| 1881215309 | Calli Alexandra Carnavas | Physician Assistant | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-05-06 |
| 1154941516 | Bryan Christopher Nugent | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Staten Island, NY 10310-1699 | 2020-04-25 |
| 1053931717 | Eduardo Cadore Guzzo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Rumc - Department of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-23 |
| 1679192322 | Burhan Riaz | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1780240333 | Zeinab Mohammed Kaleemullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, Staten Island, NY 10310 | 2019-05-18 |
| 1164086229 | Francine Fane Foo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave., Depart of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-24 |
| 1528621893 | Francis Njukeng Atemnkeng | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg, 1st Floor, Staten Island, NY 10310 | 2019-04-22 |
| 1467015966 | Anum Humayun | Student in an Organized Health Care Education/Training Program | 355 Bard Ave. Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-19 |
| 1760951842 | Syed M Faizaan Zabiullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue, Department of Medicine, Villa Building, 1st Floor,staten Island, New York, NY 10310 | 2018-11-18 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184873135 | Richmond Medical Center | Psychiatric Unit | 355 Bard Ave, Staten Island, NY 10310-1664 | 2008-09-15 |
| 1740389154 | Richmond Medical Center | Psychiatric Unit | 355 Bard Ave, Staten Island, NY 10310-1664 | 2006-09-22 |
| 1912925199 | Staten Island University Hospital | Psychiatric Unit | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063861078 | Union Community Health Center | Psychiatric Unit | 260 Eats 188th Street, Bronx, NY 10458-5302 | 2016-06-09 |
| 1033579446 | Pura Garcia-serrablo | Psychiatric Unit | 21006 42nd Ave, Apt. 1e, Bayside, NY 11361-2771 | 2016-02-26 |
| 1376916635 | Edith | Psychiatric Unit | 2123 41st St, 1st Floor, Astoria, NY 11105-1708 | 2015-11-09 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1366868218 | Brian Connelly | Psychiatric Unit | 27 Cheryl Dr, Shoreham, NY 11786-2356 | 2014-03-14 |
| 1104253772 | Pederson-krag | Psychiatric Unit | 77 Radcliffe Ave., Farmingdale, NY 11735 | 2013-09-27 |
| 1942544903 | Grand Manor Nursing Home | Psychiatric Unit | 922 E 222nd St, Apt 1, Bronx, NY 10469-1018 | 2012-11-15 |
| 1407126931 | Jon Ehinger | Psychiatric Unit | 441 16th St Apt 2r, Brooklyn, NY 11215-5892 | 2011-12-30 |
| 1497022800 | Creedmor Psychiatric Center | Psychiatric Unit | 7925 Winchester Boulevard, Creedmoor Psychiatric Center Medical Education, Queens Village, NY 11427 | 2011-11-30 |
| 1750608998 | Nyp Columbia | Psychiatric Unit | 4588 Broadway, 622 West 168th St, New York, NY 10040-2101 | 2010-04-28 |
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| City | STATEN ISLAND |
| Zip Code | 10310 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.