STATEN ISLAND UNIVERSITY HOSPITAL (NPI# 1144714171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144714171 |
| Entity Type | Organization |
| Organization Name | STATEN ISLAND UNIVERSITY HOSPITAL |
| Other Organization Name | VIVO HEALTH PHARMACY AT STATEN ISLAND |
| Practice Address |
475 Seaview Ave Staten Island NY 10305-3436 |
| Practice Telephone | 1872264624 |
| Practice Fax Number | 7182264631 |
| Mailing Telephone | 1872264624 |
| Mailing Fax Number | 7182264631 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |
| Authorized Official Name | ELLEN MARIE CODONER (ASSOCIATE DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 7182264624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
036197 | NY | Suppliers |
| Other Name | Type Code |
|---|---|
| Vivo Health Pharmacy at Staten Island | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1235419144 | Staten Island University Hospital | General Acute Care Hospital | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2011-08-23 |
| 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 |
475 SEAVIEW AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611537 | Than Than Aye | Anesthesiology | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2005-06-30 |
| 1780285346 | Daphne Andrea Duran | Nurse Practitioner | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-11-02 |
| 1912505595 | Jennifer Ann Holtzbach | Nurse Practitioner | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-10-15 |
| 1649877564 | Michelle Ramsaroop | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-10-04 |
| 1174130694 | Juda Zurndorfer | Nurse Practitioner | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-09-29 |
| 1780299362 | Lorenzo Brown | Registered Nurse | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-09-10 |
| 1780294959 | Valerie Jioia | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-08-03 |
| 1679199368 | Madison Lynn Robbins | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-18 |
| 1598389678 | Brianna Nichole Hines | Student in an Organized Health Care Education/Training Program | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-03 |
| 1912521279 | Christina Valerio | Registered Nurse | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-02 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111951 | Pharmacy On Bay Street Inc. | Pharmacy | 1209 Bay St, Staten Island, NY 10305-3121 | 2020-10-13 |
| 1902414048 | Fresh Rx LLC | Pharmacy | 436 Nome Ave, Staten Island, NY 10314-6039 | 2020-07-15 |
| 1013547629 | Sunning Pharmacy Inc. | Pharmacy | 1836 Hylan Blvd Ste B, Staten Island, NY 10305-1935 | 2020-01-22 |
| 1780221879 | Nile Care Pharma Corp. | Pharmacy | 1509 Hylan Blvd, Staten Island, NY 10305-1907 | 2019-12-08 |
| 1295377760 | Rx Box Pharmacy Corp. | Pharmacy | 3265 Richmond Ave, Staten Island, NY 10312-2123 | 2019-10-16 |
| 1174088348 | H&r Nyc Pharmaceutical LLC | Pharmacy | 1265 Clove Rd # Storee, Staten Island, NY 10301-4339 | 2019-02-01 |
| 1013488121 | Michael Michail | Pharmacy | 36 Prices Ln, Staten Island, NY 10314-4618 | 2018-12-16 |
| 1841616208 | Ibram Pharmacy Inc | Pharmacy | 1756 Hylan Blvd, Staten Island, NY 10305-1932 | 2014-03-10 |
| 1912258807 | Victory Family Pharmacy, LLC | Pharmacy | 1975 Victory Blvd Ste A, Staten Island, NY 10314-3536 | 2012-10-02 |
| 1356609143 | New Dorp Pharmacy Corp | Pharmacy | 62 New Dorp Plz, Staten Island, NY 10306-2920 | 2012-04-30 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
Please comment or provide details below to improve the information on STATEN ISLAND UNIVERSITY HOSPITAL.
| 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.