NPIMap

Organization Active NPI

Superior Clinical Care PLLC

  • Contractor
  • Staten Island, NY
National Provider Identifier
1154487122
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
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
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Ms. Miriam M PrattNPI 1326266206
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)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 52

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.

View all 52

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.

Verify at the official NPI Registry.