NPIMap

Organization Active NPI

Staten Island University Hospital - Tbi

  • Rehabilitation Hospital Unit
  • Staten Island, NY
National Provider Identifier
1386654515
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
STATEN ISLAND UNIVERSITY HOSPITAL - TBI
Practice address
475 Seaview Ave
Staten Island, NY 10305-3436
Phone
(718) 226-4502
NPI assigned
Aug 9, 2006
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
STATEN ISLAND UNIVERSITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Mr. Nick Galvez
Title
Director of Patient Accounts
Phone
(718) 226-4502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Mailing address

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-4502

Other identifiers 1

IdentifierTypeStateIssuer
01542974MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Staten Island University Hospital Behavorial Medicine Group21 organizations share this tax ID, including this one
Part of
Staten Island University Hospital Behavorial Medicine Group

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1386654515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND UNIVERSITY HOSPITAL - TBI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATEN ISLAND UNIVERSITY HOSPITAL",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "GALVEZ",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "718-226-4502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01542974",
            "state": "NY"
        }
    ],
    "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 May 29, 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.

Verify at the official NPI Registry.