MARINA SENIOR CENTER INC (NPI# 1558896712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558896712 |
| Entity Type | Organization |
| Organization Name | MARINA SENIOR CENTER INC |
| Practice Address |
625 Midland Ave Staten Island NY 10306-6019 |
| Mailing Address |
385 Barclay Ave Staten Island NY 10312-5318 |
| Practice Telephone | 3477775731 |
| Mailing Telephone | 3477775731 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | LAMYA IBRAHIM (PRESIDENT) |
| Authorized Official Telephone | 3477775731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
625 MIDLAND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-6019 |
| 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 | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940052 | Good Faith Social Daycare | Clinic/Center | 1385 Bay St, Staten Island, NY 10305-3901 | 2020-07-28 |
| 1184264335 | Staten Island Social Adult Day Care Inc | Clinic/Center | 614 Richmond Rd, Staten Island, NY 10304-2410 | 2020-01-15 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1942859053 | 4ever Good Adult Daycare Center Inc | Clinic/Center | 2980 Richmond Ter, Staten Island, NY 10303-2318 | 2019-09-11 |
| 1073064267 | Heavenly Hearts Adult Day Care, Inc. | Clinic/Center | 500 Todt Hill Rd, Staten Island, NY 10304-1326 | 2016-10-22 |
| 1689055139 | Joon Weon Choe | Clinic/Center | 4295 Arthur Kill Rd, Staten Island, NY 10309-1343 | 2015-06-10 |
| 1750718938 | Fiesta Adult Daycare of Staten Island Inc. | Clinic/Center | 1241 Castleton Ave, Staten Island, NY 10310-1713 | 2013-10-02 |
| 1902248602 | Su Casa Adult Day Care | Clinic/Center | 533 Port Richmond Ave, Staten Island, NY 10302-1720 | 2013-07-23 |
| 1760723621 | Si. Senior Lifestyle Center Inc | Clinic/Center | 98 Port Richmond Ave, Staten Island, NY 10302 | 2013-03-01 |
| 1255679403 | Happy Island Senior Center,llc | Clinic/Center | 1671 Hylan Blvd, Staten Island, NY 10305-1913 | 2013-01-23 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
Please comment or provide details below to improve the information on MARINA SENIOR CENTER INC.
| 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.