PHYSICIANS OF UNIVERSITY HOSPITAL, PC (NPI# 1417901323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417901323 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS OF UNIVERSITY HOSPITAL, PC |
| Practice Address |
375 Seguine Ave 2nd Fl. Staten Island NY 10309-3932 |
| Mailing Address |
1 Edgewater St 6th Fl. Payer Relations Dept. Staten Island NY 10305-4900 |
| Practice Telephone | 7182266789 |
| Practice Fax Number | 7182266224 |
| Mailing Telephone | 7182261008 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2012-11-09 |
| Authorized Official Name | DR. MARK JARRETT (DIRECTOR) |
| Authorized Official Telephone | 5164653214 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02808139 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992200075 | Physicians of University Hospital, PC | Anesthesiology | 100 E 77th St, New York, NY 10075-1850 | 2018-03-29 |
| 1023513116 | Physicians of University Hospital, PC | Anesthesiology | 301 E Main St, Bay Shore, NY 11706-8408 | 2018-03-29 |
| Street Address |
375 SEGUINE AVE 2ND FL. |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10309-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205829892 | Michael Anthony Savino | Urology | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2005-08-29 |
| 1558989137 | Edison Tyli | Nurse Practitioner | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2020-07-09 |
| 1821638982 | Laticia Francis | Counselor | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2020-01-07 |
| 1013568369 | Magdalena A Lubinski | Physician Assistant | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2019-09-26 |
| 1013563477 | James Patrick Leahy Jr. | Registered Nurse | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2019-08-12 |
| 1598325748 | Marianne R Cabe | Registered Nurse | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2019-06-19 |
| 1609430263 | Tumika Leatrice Alston | Nurse Practitioner | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2019-04-29 |
| 1548726680 | Cathleen N/a Ryan | Physician Assistant | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2019-02-13 |
| 1013484898 | Junhyeok Choi | Physician Assistant | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2018-10-30 |
| 1285115568 | Benjamin George Thomas | Internal Medicine | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816650 | Nikki Schechter | Occupational Therapist | 3495 Richmond Road, Staten Island, NY 10309 | 2018-06-27 |
| 1659878213 | Pauline Izzo | Nurse Practitioner | 544 Darlington Ave, Staten Island, NY 10309 | 2018-04-10 |
| 1053822544 | Dufort Psychological Services Pllc | Psychologist | 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309 | 2017-10-24 |
| 1902324361 | Anthony Orefice | Home Health | 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 | 2017-09-06 |
| 1770007767 | Graceann Cotroneo | Specialist | 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 | 2017-08-01 |
| 1477075836 | Matthew Jordan Levine | Specialist | 15 Redwood Loop, Staten Island, NY 10309 | 2017-07-07 |
| 1619339256 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 205 Bricktown Way, Ste A, Staten Island, NY 10309 | 2016-03-23 |
| 1295109692 | Danielle Kinsman | Early Intervention Provider Agency | 1007 Edgegrove Avenue, Staten Island, NY 10309 | 2015-11-23 |
| 1811363591 | Daniella Aryeh | Speech-Language Pathologist | 997 Stafford Avenye, Staten Island, NY 10309 | 2015-08-17 |
| 1649652058 | Visions By Victoria Rose Ltd. | Technician/Technologist | 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 | 2015-06-22 |
| Find all providers in zip 10309 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700011392 | Dashima Carthen | Internal Medicine | 1150 South Ave Fl 3, Staten Island, NY 10314-3404 | 2009-05-26 |
| 1659490118 | Diana Cherezova | Internal Medicine | 690 Casleton Ave., 2nd Floor, Staten Island, NY 10314 | 2007-03-28 |
| 1821156936 | Thippa R Ramaraju | Internal Medicine | 130 Hillside Ter, Staten Island, NY 10308-2808 | 2006-12-04 |
| 1528098381 | Joseph Patrick Santiamo | Internal Medicine | 4268 Richmond Ave, Staten Island, NY 10312-6239 | 2006-07-04 |
| 1124001599 | Giovannie Jean-baptiste | Internal Medicine | 242 Mason Ave, Staten Island, NY 10305-3408 | 2005-11-21 |
| 1396003182 | Sv Operating Three LLC | Internal Medicine | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2012-04-30 |
| 1235317181 | Anita Szerszen | Internal Medicine | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2008-02-02 |
| 1699889337 | Bruce Lee Berman | Internal Medicine | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2006-08-19 |
| 1851387682 | Anna Warchol | Internal Medicine | 2627b Hylan Blvd, Staten Island, NY 10306-4353 | 2005-09-27 |
| 1013902493 | Barbara Malach | Internal Medicine | 2627b Hylan Blvd, Staten Island, NY 10306-4353 | 2005-09-13 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10309 |
Please comment or provide details below to improve the information on PHYSICIANS OF UNIVERSITY HOSPITAL, PC.
| 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.