SUNY DOWNSTATE MEDICAL CENTER (NPI# 1407110760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407110760 |
| Entity Type | Organization |
| Organization Name | SUNY DOWNSTATE MEDICAL CENTER |
| Practice Address |
89 Joseph Ave Staten Island NY 10314-5054 |
| Practice Telephone | 9176979670 |
| Mailing Telephone | 9176979670 |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2012-07-01 |
| Authorized Official Name | JEFFREY STERN (RESIDENT PHYSICIAN) |
| Authorized Official Telephone | 9176979670 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144565177 | Suny Downstate Medical Center | General Acute Care Hospital | 2 Fuschetto Ct, Farmingdale, NY 11735-4262 | 2012-12-03 |
| 1376820100 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave # 1257, Brooklyn, NY 11203-2012 | 2011-11-08 |
| 1346520350 | Suny Downstate Medical Center | General Acute Care Hospital | 264 72nd St Apt 1b, Brooklyn, NY 11209-2151 | 2011-08-22 |
| 1710201512 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave Ste D, Brooklyn, NY 11203-2012 | 2010-03-23 |
| 1104065689 | Suny Downstate Medical Center | General Acute Care Hospital | 1486 Dunbar Street, Farrockaway, NY 11691 | 2009-02-06 |
| 1033320601 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave # 1189, Brooklyn, NY 11203-2056 | 2007-05-25 |
| 1124492285 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave, Box 50, Brooklyn, NY 11203-2012 | 2015-11-30 |
| 1114317849 | Suny Downstate Medical Center | Chronic Disease Hospital | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2015-02-03 |
| 1538591862 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2013-08-09 |
| 1689923518 | Suny Downstate Medical Center | General Acute Care Hospital | 445 Lenox Rd, Brooklyn, NY 11203 | 2012-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUNY DOWNSTATE MEDICAL CENTER | 450 Clarkson Ave, Brooklyn, NY 11203-2012 |
| Street Address |
89 JOSEPH AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-5054 |
| 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 | 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 |
| 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 |
| 1841742285 | Staten Island Universty Hospital | General Acute Care Hospital | 392 Seguine Ave, Staten Island, NY 10309-3906 | 2016-11-02 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
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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.