Active NPI
Superior Clinical Care PLLC
- Contractor
- Staten Island, NY
National Provider Identifier
1154487122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Legal business name
- SUPERIOR CLINICAL CARE PLLC
- Practice address
- 178 Morrison Ave
Staten Island, NY 10310-2835 - Phone
- (718) 442-3646
- Fax
- (718) 442-3646
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Miriam M Pratt
- Title
- Principal
- Phone
- (718) 442-3646
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
178 Morrison Ave
Staten Island, NY 10310-2835
Mailing address
PO Box 333
Garwood, NJ 07027-0333
Phone (718) 442-3646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160411001266 | NY | Part B Supplier - Clinic/Group Practice | 5799083655 |
Receives reassigned benefits from 44 practitioners Practice locations: Staten Island, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Superior Clinical Care PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Contractor
- Staten Island, NY
- NPI 1952773038
Practitioners & affiliated clinicians
Practitioners 52
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445990400000",
"number": "1154487122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 333",
"city": "GARWOOD",
"state": "NJ",
"postal_code": "070270333",
"telephone_number": "718-442-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 MORRISON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103102835",
"telephone_number": "718-442-3646",
"fax_number": "718-442-3646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR CLINICAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2015-10-28",
"status": "A",
"authorized_official_last_name": "PRATT",
"authorized_official_first_name": "MIRIAM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "718-442-3646",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor",
"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 Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.