USCG SECTOR NEW YORK (NPI# 1770553752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770553752 |
| Entity Type | Organization |
| Organization Name | USCG SECTOR NEW YORK |
| Practice Address |
215 Drum Road Room D-113 Staten Island NY 10305 |
| Practice Telephone | 7183544414 |
| Practice Fax Number | 7183544415 |
| Mailing Telephone | 7183544414 |
| Mailing Fax Number | 7183544415 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2010-09-24 |
| Authorized Official Name | TIMOTHY L. ARMENTROUT (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 7183544341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
0101050128 | VA | Ambulatory Health Care Facilities |
| Street Address |
215 DRUM ROAD ROOM D-113 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982792446 | Jeffrey Francis Leung | Physician Assistant | 215 Drum Road, Commander Uscg Sector Ny Room D-113, Staten Island, NY 10305 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285774752 | Uscg Sector New York Medical | Clinic/Center | 215 Drum Rd Rm D113, Staten Island, NY 10305-5001 | 2007-02-07 |
| 1033204391 | Uscg Sector Ny Clinic | Clinic/Center | 215 Drum Rd, Rm D-113, Staten Island, NY 10305-5001 | 2006-10-04 |
| 1972698777 | Uscg Sector New York Medical | Clinic/Center | 215 Drum Rd, Rm D 113 Medical, Staten Island, NY 10305-5001 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1962823575 | Guthrie Ahc | Clinic/Center | 11050 Mount Beledere Blvd, Fort Drum, NY 13602 | 2013-12-27 |
| 1548681240 | Guthrie Ahc | Clinic/Center | 5th Armored Division Drive, Fort Drum, NY 13602 | 2013-12-23 |
| 1750578977 | Branch Medical Clinic Saratoga Springs | Clinic/Center | 1 West Ave Ste 2, Saratoga Springs, NY 12866-6045 | 2007-10-02 |
| 1811192594 | Guthrie Ahc | Clinic/Center | 10720 Mt Belvedere Blvd, Suite A1-102, Fort Drum, NY 13602-5040 | 2007-06-20 |
| 1235334392 | Keller Army Community Hospital | Clinic/Center | 606 Cullum Road, Building 606, West Point, NY 10996 | 2007-06-19 |
| 1366863060 | Guthrie Ahc | Clinic/Center | 4th Armored Division Drive, Fort Drum, NY 13602 | 2013-12-23 |
| 1144565797 | Guthrie Ahc | Clinic/Center | 40 Franklin St, Carthage, NY 13619-1377 | 2012-12-10 |
| 1740486091 | Guthrie Ahc | Clinic/Center | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2007-06-25 |
| 1457556136 | Guthrie Ahc | Clinic/Center | 10205 N Riva Ridge Loop, Suite P10205, Fort Drum, NY 13602-5457 | 2007-06-20 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.