Staten Island Physician Practice PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

STATEN ISLAND PHYSICIAN PRACTICE PC

Doing business as

Staten Island Physician Practice Urgent Care

Practice address

1050 Clove Rd
Staten Island, NY 10301-3627

Phone

(718) 816-6440

NPI assigned

Jun 2, 2016

Last updated

Jun 2, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

STATEN ISLAND PHYSICIAN PRACTICE PCAs reported in NPPES

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

Authorized official

Name

Mr. Joseph Zeitlin, MD

Title

President

Phone

(646) 680-1580

Specialties & licenses 4

Addresses

Other names 1

• Staten Island Physician Practice Urgent Care Doing business as

Part of

Staten Island Physician Practice PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Staten Island Physician Practice PC

  dba AdvantageCare Physicians

  • Internal Medicine Physician
  • New York, NY
  • NPI 1568413169
  NPPES parent name

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.

• Najma A. Ahmed, MD

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1043253099
  NPD
• Sheila F Natbony, DO

  • Pediatric Allergy/Immunology Physician
  • North Babylon, NY
  • NPI 1033163969
  NPD (past)
• Navarra V Rodriguez, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1154364081
  NPD (past)
• Henry Chiu, M.D.

  • Gastroenterology Physician
  • Las Vegas, NV
  • NPI 1487820965
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1144678954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 9TH AVE",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011623",
            "telephone_number": "646-680-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013627",
            "telephone_number": "718-816-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND PHYSICIAN PRACTICE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATEN ISLAND PHYSICIAN PRACTICE PC",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "ZEITLIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-680-1580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Staten Island Physician Practice Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Staten Island Pediatric Hematology Oncology Assoc.
• Staten Island Performing Provider System LLC
• Staten Island Pharmacy Inc.
• Staten Island Physcial Therapy PC
• Staten Island Physical Therapy & Rehab, PC
• Staten Island Podiatry Obs,PLLC
• Staten Island Podiatry, P.C.
• Staten Island Psychotherapy LCSW PLLC
• Staten Island Pulmonary Assoc PC
• Staten Island Rehabilitation Medicine PC

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.