Uscg Sector New York Medical

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

USCG SECTOR NEW YORK MEDICAL

Practice address

215 Drum Rd RM D113
Staten Island, NY 10305-5001

Phone

(718) 354-4208

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Jose Garcia Madera

Title

HS3

Phone

(718) 354-4208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285774752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 DRUM RD RM D113",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DRUM RD RM D113",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055001",
            "telephone_number": "718-354-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG SECTOR NEW YORK MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "HS3",
        "authorized_official_telephone_number": "718-354-4208"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Urrico, RN
• ND Krishne Urs, MD
• Kristen Ursick
• Daniellynn Anne Bernales Ursua
• Uscg Sector New York
• Uscg Sector New York Medical
• Uscg Sector New York Pharmacy
• Uscg Sector Ny Clinic
• Usha Thomas Physician PC
• Eugene James Uske, RPH

• Military/U.S. Coast Guard Outpatient Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.