NPIMap

Organization Active NPI

United States Coast Guard

  • Health Maintenance Organization
  • Staten Island, NY
National Provider Identifier
1043346216
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
17100000X Issued in NY
Legal business name
UNITED STATES COAST GUARD
Practice address
215 Drum Rd
Staten Island, NY 10305-5001
Phone
(718) 354-4414
NPI assigned
Feb 24, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Quirico Cabredo, DOCTORNPI 1609854710
Title
Commander
Phone
(718) 354-4414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 17100000X NY Primary

Addresses

Primary practice location

215 Drum Rd
Staten Island, NY 10305-5001

Mailing address

215 Drum Rd
Staten Island, NY 10305-5001
Phone (718) 354-4414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1043346216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 DRUM RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055001",
            "telephone_number": "718-354-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DRUM RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055001",
            "telephone_number": "718-354-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES COAST GUARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CABREDO",
        "authorized_official_first_name": "QUIRICO",
        "authorized_official_title_or_position": "COMMANDER",
        "authorized_official_telephone_number": "718-354-4414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "17100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.