NEW YORK VAMC (NPI# 1487693362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487693362 |
| Entity Type | Organization |
| Organization Name | NEW YORK VAMC |
| Other Organization Name | STATEN ISLAND VA CLINIC |
| Practice Address |
1150 South Ave 3rd Floor-suite 301 Staten Island NY 10314-3404 |
| Mailing Address |
Po Box 3020 Lebanon PA 17042-3020 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Staten Island VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992750392 | New York Vamc | Clinic/Center | 55 W 125th St, New York, NY 10027-4516 | 2006-05-23 |
| 1063810612 | New York Vamc | Clinic/Center | 17900 Linden Blvd, Jamaica, NY 11434-1468 | 2014-12-15 |
| 1609274257 | New York Vamc | Clinic/Center | 17900 Linden Blvd, Jamaica, NY 11434-1468 | 2014-12-15 |
| 1457395139 | New York Vamc | Clinic/Center | 17900 Linden Blvd, Jamaica, NY 11434-1468 | 2006-06-15 |
| 1083663124 | New York Vamc | General Acute Care Hospital | 423 E 23rd St, New York, NY 10010-5011 | 2006-05-08 |
| 1033168356 | New York Vamc | General Acute Care Hospital | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2006-05-06 |
| 1457309049 | New York Vamc | Department of Veterans Affairs (VA) Pharmacy | 423 E 23rd St, New York, NY 10010-5011 | 2006-05-05 |
| 1134177694 | New York Vamc | Department of Veterans Affairs (VA) Pharmacy | 17900 Linden Blvd, Jamaica, NY 11434-1468 | 2006-05-05 |
| 1275591232 | New York Vamc | Department of Veterans Affairs (VA) Pharmacy | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2006-05-01 |
| Street Address |
1150 SOUTH AVE 3RD FLOOR-SUITE 301 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447584206 | Ravindranath Rampersad | Occupational Therapist | 1150 South Ave, Staten Island, NY 10314-3404 | 2009-09-28 |
| 1700821048 | Victoria Bolbirer | Optometrist | 1150 South Ave, 3rd Floor, Staten Island, NY 10314-3404 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519693 | Domingo Colon | Clinic/Center | 101 Pondfield Rd W, Bronxville, NY 10708-2100 | 2019-07-10 |
| 1033517602 | Buffalo Vamc | Clinic/Center | 910 Erie Boulevard East, 2nd Floor, Syracuse, NY 13210-1060 | 2014-12-15 |
| 1366840969 | Buffalo Vamc | Clinic/Center | 572 South Salina Street, Syracuse, NY 13202-3320 | 2014-12-12 |
| 1467649897 | Montrose Vamc | Clinic/Center | 2881 Church St, Route 199, Pine Plains, NY 12567-5545 | 2007-10-01 |
| 1538350616 | Vet Center | Clinic/Center | 17 Computer Dr W, Albany, NY 12205-1614 | 2007-08-05 |
| 1952339400 | Buffalo Vamc | Clinic/Center | 324 Plaza Road, Kingston, NY 12401 | 2006-06-30 |
| 1245270065 | Bronx Vamc | Clinic/Center | 23 S Broadway, White Plains, NY 10601-3503 | 2006-06-08 |
| 1184664567 | Buffalo Vamc | Clinic/Center | 295 River St, Troy, NY 12180-3215 | 2006-06-07 |
| 1174563548 | Soho Community Clinic | Clinic/Center | 245 W Houston St, Room 313, New York, NY 10014-4805 | 2006-06-07 |
| 1023057965 | Bronx Vamc | Clinic/Center | 124 New Main St, Yonkers, NY 10701-4126 | 2006-06-06 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on NEW YORK VAMC.
| 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.