Organization Active NPI

Streamlight Corp.

  • Home Health Agency
  • Staten Island, NY
National Provider Identifier
1063046985
Registry record updated Feb 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STREAMLIGHT CORP.
Practice address
66 Jacques Ave
Staten Island, NY 10306-3026
Phone
(917) 319-8392
Fax
(718) 979-0415
NPI assigned
Feb 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2020

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

Authorized official

Name
Mr. Hisham Hadidi
Title
President
Phone
(917) 319-8392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

66 Jacques Ave
Staten Island, NY 10306-3026

Mailing address

66 Jacques Ave
Staten Island, NY 10306-3026
Phone (917) 319-8392

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582934400000",
    "number": "1063046985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 JACQUES AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063026",
            "telephone_number": "917-319-8392",
            "fax_number": "718-979-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 JACQUES AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063026",
            "telephone_number": "917-319-8392",
            "fax_number": "718-979-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREAMLIGHT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-29",
        "last_updated": "2020-02-29",
        "certification_date": "2020-02-29",
        "status": "A",
        "authorized_official_last_name": "HADIDI",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-319-8392",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Feb 29, 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.