Uscg Sector Ny Clinic

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

USCG SECTOR NY CLINIC

Practice address

215 Drum Rd
RM D-113
Staten Island, NY 10305-5001

Phone

(718) 354-4414

Fax

(718) 354-4415

NPI assigned

Oct 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sara Demers

Title

Health Services Tech. 2ND Class

Phone

(718) 354-4414

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033204391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 USS IOWA CIR APT 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DRUM RD",
            "address_2": "RM D-113",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055001",
            "telephone_number": "718-354-4414",
            "fax_number": "718-354-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG SECTOR NY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMERS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "HEALTH SERVICES TECH. 2ND CLASS",
        "authorized_official_telephone_number": "718-354-4414"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniellynn Anne Bernales Ursua
• Uscg Sector New York
• Uscg Sector New York Medical
• Uscg Sector New York Medical
• Uscg Sector New York Pharmacy (Uscg New York Pharmacy)
• Usha Thomas Physician PC
• Eugene James Uske, RPH
• Ayesha Usman, MD
• Babi N Usman, MD
• Muhammad Usman

• Military/U.S. Coast Guard Outpatient Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.