STATEN ISLAND UNIVERSITY HOSPITAL (NPI# 1053556159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053556159 |
| Entity Type | Organization |
| Organization Name | STATEN ISLAND UNIVERSITY HOSPITAL |
| Practice Address |
256 Mason Ave Staten Island NY 10305-3408 |
| Mailing Address |
320 Dongan Hills Ave Staten Island NY 10305-2239 |
| Practice Telephone | 7182266400 |
| Mailing Telephone | 7186689442 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |
| Authorized Official Name | DR. RAYMOND ELSOUEIDI (HEMATOLOGY/ONCOLOGY FELLOW) |
| Authorized Official Telephone | 7182266400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 003191 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164846317 | Staten Island University Hospital | General Acute Care Hospital | 14 Manchester Dr, Staten Island, NY 10312-1807 | 2014-02-07 |
| 1396755922 | Staten Island University Hospital | Hospice, Inpatient | 78 Meisner Ave, Staten Island, NY 10306-1234 | 2006-08-08 |
| 1144714171 | Staten Island University Hospital | Pharmacy | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2018-06-22 |
| 1649702424 | Staten Island University Hospital | General Acute Care Hospital | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2017-03-30 |
| 1447507579 | Staten Island University Hospital | General Acute Care Hospital | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2012-08-08 |
| 1215283890 | Staten Island University Hospital | Student in an Organized Health Care Education/Training Program | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2012-08-01 |
| 1477815520 | Staten Island University Hospital | General Acute Care Hospital | 227 Koch Blvd, Staten Island, NY 10312-5416 | 2012-06-14 |
| 1093084659 | Staten Island University Hospital | Psychiatric Hospital | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2011-12-27 |
| 1760751101 | Staten Island University Hospital | Clinic/Center | 567 E 105th St, Brooklyn, NY 11236-2213 | 2011-12-14 |
| 1881962298 | Staten Island University Hospital | Psychiatric Hospital | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2011-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATEN ISLAND UNIVERSITY HOSPITAL, INC | 475 Seaview Ave, Staten Island, NY 10305-3436 |
| Street Address |
256 MASON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154313542 | Qun Dai | Internal Medicine | 256 Mason Ave, Staten Island, NY 10305-3408 | 2005-08-22 |
| 1215598487 | Amanda R Molloy | Registered Nurse | 256 Mason Ave, Staten Island, NY 10305-3408 | 2019-06-27 |
| 1588103188 | A Personal Touch Garment Corporation | Durable Medical Equipment & Medical Supplies | 256 Mason Ave, 2nd Floor, Building B, Staten Island, NY 10305-3408 | 2017-02-15 |
| 1043689524 | Kathleen Del Duca | Speech-Language Pathologist | 256 Mason Ave, Building C, Staten Island, NY 10305-3408 | 2015-09-15 |
| 1053658815 | Laura Frances Longo | Nurse Practitioner | 256 Mason Ave, Staten Island, NY 10305-3408 | 2013-01-13 |
| 1558655365 | Jessica L De Petro | Genetic Counselor, MS | 256 Mason Ave, Building B, 2nd Floor, Staten Island, NY 10305-3408 | 2011-06-09 |
| 1588965826 | Betty Marie Constant | Nurse Practitioner | 256 Mason Ave, Building C, Staten Island, NY 10305-3408 | 2010-11-03 |
| 1568772861 | Michelle Marie Vanpelt | Registered Nurse | 256 Mason Ave, Staten Island, NY 10305-3408 | 2010-10-20 |
| 1023342003 | Laura Polito | Physician Assistant | 256 Mason Ave, Building B- 2nd Floor, Staten Island, NY 10305-3408 | 2009-09-24 |
| 1588998850 | John Afthinos | Surgery | 256 Mason Ave, Bldg B, Staten Island, NY 10305-3408 | 2009-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518352855 | Richmond University Medical Center | General Acute Care Hospital | 355 Bard Ave Richmond University Medical Center, Department of Obstetrics and Gynecology, Staten Island, NY 10310 | 2015-04-03 |
| 1164846317 | Staten Island University Hospital | General Acute Care Hospital | 14 Manchester Dr, Staten Island, NY 10312-1807 | 2014-02-07 |
| 1336587773 | Vincent John Caserta | General Acute Care Hospital | 41 Fairlawn Loop, Staten Island, NY 10308-3508 | 2013-06-07 |
| 1407110760 | Suny Downstate Medical Center | General Acute Care Hospital | 89 Joseph Ave, Staten Island, NY 10314-5054 | 2012-07-01 |
| 1316235252 | Richmond University Medical Center | General Acute Care Hospital | 201 Hamilton Ave Apt 4c, Staten Island, NY 10301-1631 | 2011-07-13 |
| 1902192909 | Nicolette Tedeschi | General Acute Care Hospital | 38 Barrow Pl, Staten Island, NY 10309-1780 | 2011-06-28 |
| 1518266956 | Maimonides Medical Center | General Acute Care Hospital | 168 Ardsley St, Staten Island, NY 10306-1607 | 2011-03-24 |
| 1700195146 | Margaret Mary Terjesen | General Acute Care Hospital | 66 Lortel Ave, Staten Island, NY 10314-5511 | 2010-10-04 |
| 1356597256 | Maimonides Medical Center | General Acute Care Hospital | 555 Henderson Ave, Staten Island, NY 10310-1532 | 2008-08-11 |
| 1649702424 | Staten Island University Hospital | General Acute Care Hospital | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2017-03-30 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.