STATEN ISLAND UNIVERSITY HOSPITAL (NPI# 1396755922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396755922 |
| Entity Type | Organization |
| Organization Name | STATEN ISLAND UNIVERSITY HOSPITAL |
| Practice Address |
78 Meisner Ave Staten Island NY 10306-1234 |
| Mailing Address |
475 Seaview Ave Staten Island NY 10305-3436 |
| Practice Telephone | 7182266456 |
| Practice Fax Number | 7182266607 |
| Mailing Telephone | 7182269034 |
| Mailing Fax Number | 7182268966 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2013-07-16 |
| Authorized Official Name | MR. NICK GALVEZ (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Telephone | 7182264502 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATEN ISLAND UNIVERSITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS | 004032 | 01 |
| NY | 01352230 | 05 |
| 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 |
| 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 |
| 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 |
78 MEISNER AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801248943 | Memory Check Psychological Services | Hospice, Inpatient | 155 Pinelawn Rd, Suite 120, Melville, NY 11747-3245 | 2016-07-12 |
| 1417955543 | Cortland County | Hospice, Inpatient | 11 Kennedy Pkwy, Cortland, NY 13045-1409 | 2005-07-12 |
| 1720527757 | White Glove | Hospice, Inpatient | 630 Flushing Ave, Second Floor, Brooklyn, NY 11206-5026 | 2017-02-23 |
| 1164811220 | Urnc Operating, LLC | Hospice, Inpatient | 2535 Genesee St, Utica, NY 13501-6251 | 2015-01-13 |
| 1306177902 | Genesis Hemingway | Hospice, Inpatient | 31 North St, Newburgh, NY 12550-3535 | 2010-01-20 |
| 1023346186 | Charles Patrick Tilley | Hospice, Inpatient | 1250 Broadway, 7th Floor, New York, NY 10001-3701 | 2009-12-01 |
| City | STATEN ISLAND |
| Zip Code | 10306 |
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.