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NPI · 1104142082 · NPPES-sourced

Staten Island Medical Practice, P.C.

ActivePrimary Care Clinic
NPI Number
1104142082
Type 2 · Organisation
Taxonomy Code
261QP2300X
Contact
(718) 948-5475
License NY · 191751
Last Updated
Enumerated
Primary practice addressNY · 10312-5241
5405 Hylan BlvdStaten Island, NY 10312-5241
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About this NPIWhat this record shows.

NPI 1104142082 is registered to Staten Island Medical Practice, P.C., a healthcare organisation classified as "Primary Care Clinic" and located at 5405 Hylan Blvd in Staten Island, New York. The organisation's authorised official is Leonard Marchetta. The organisation has been enumerated in the NPI registry since 2010.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 11177655· Issued by CAQH

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Staten Island Medical Practice, P.C. accepts. To confirm in-network status with your specific health plan, contact Staten Island Medical Practice, P.C. directly at (718) 948-5475.

Frequently asked

Yes. NPI 1104142082 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Primary Care Clinic is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (718) 948-5475.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Staten Island Medical Practice, P.C. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QP2300X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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