Active NPI
Maimonides Medical Center
- General Acute Care Hospital
- Staten Island, NY
National Provider Identifier
1356597256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- F334700-1
- Legal business name
- MAIMONIDES MEDICAL CENTER
- Practice address
- 555 Henderson Ave
Staten Island, NY 10310-1532 - Phone
- (771) 872-0749
- NPI assigned
- Aug 11, 2008
- 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. Sharon D. Lipscomb, 8/2008
- Title
- Family Nurse Practitioner
- Phone
- (718) 720-7498
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | F334700-1 | NY | Primary |
| General Acute Care Hospital | 282N00000X | 455721-1 | NY |
Addresses
Primary practice location
555 Henderson Ave
Staten Island, NY 10310-1532
Mailing address
555 Henderson Ave
Staten Island, NY 10310-1532
Phone (771) 872-0749
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218412800000",
"number": "1356597256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 HENDERSON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101532",
"telephone_number": "771-872-0749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 HENDERSON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101532",
"telephone_number": "771-872-0749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIMONIDES MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-11",
"last_updated": "2008-08-11",
"status": "A",
"authorized_official_last_name": "LIPSCOMB",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "718-720-7498",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "8/2008"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "F334700-1",
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "455721-1",
"primary": false
}
],
"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 Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.