Active NPI
Skyler O'Berry
- Student in an Organized Health Care Education/Training Program
- Staten Island, NY
National Provider Identifier
1386506772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 997 Stafford Ave
Staten Island, NY 10309-2109 - Phone
- (718) 948-1900
- NPI assigned
- Nov 24, 2025
- Last updated
- Nov 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | Primary |
Addresses
Primary practice location
997 Stafford Ave
Staten Island, NY 10309-2109
Mailing address
150 Montague St
Brooklyn, NY 11201-3558
Other practice location 1
2138 31st St
Astoria, NY 11105-2661
Phone (718) 626-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1386506772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MONTAGUE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112013558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 STAFFORD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103092109",
"telephone_number": "718-948-1900"
}
],
"practiceLocations": [
{
"address_1": "2138 31st St",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111052661",
"country_code": "US",
"telephone_number": "718-626-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BERRY",
"first_name": "SKYLER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- Chinelo Nkolika Nzegwu, RN
- O-K Diagnostics LLC
- O.a. Adult Health NP P.C. (Adult Health NP Modern Wellness Practice)
- O.B. Adult Health Nurse Practitioner Services PC
- Brittany Marie O'Berg
- Annemarie Elizabeth O'Brien
- Caitlyn Elizabeth O'Brien, PA-C
- Kelly Elizabeth O'Brien, M.S. ED.
- Timothy O'Byrne, MD
- Shannon O'Connell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.