STATEN ISLAND UNIVERSITY HOSPITAL (NPI# 1477815520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477815520 |
| Entity Type | Organization |
| Organization Name | STATEN ISLAND UNIVERSITY HOSPITAL |
| Practice Address |
227 Koch Blvd Staten Island NY 10312-5416 |
| Practice Telephone | 9176556207 |
| Mailing Telephone | 9176556207 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Authorized Official Name | OTAR DATAN (PGY-1) |
| Authorized Official Telephone | 9176556207 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH SHORE LIJ |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 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 |
| 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 |
227 KOCH BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326032673 | Nonna Datiashvili | Internal Medicine | 227 Koch Blvd, Staten Island, NY 10312-5416 | 2005-09-01 |
| 1083096572 | Otar Datiashvili | Emergency Medicine | 227 Koch Blvd, Staten Island, NY 10312-5416 | 2015-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| 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 | 10312 |
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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.