Organization Active NPI

Seaview Skin Cancer Surgery, LLC

  • Medical Specialty Clinic/Center
  • Staten Island, NY
National Provider Identifier
1407133440
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
201613-1 Issued in NY
Legal business name
SEAVIEW SKIN CANCER SURGERY, LLC
Practice address
256 Mason Ave # C
Third Floor
Staten Island, NY 10305-3408
Phone
(718) 226-1251
Fax
(718) 226-1252
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Dr. Tina Peloro, MD
Title
Mohs Surgeon
Phone
(732) 995-2967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 201613-1 NY Primary

Addresses

Primary practice location

256 Mason Ave # C
Third Floor
Staten Island, NY 10305-3408

Mailing address

256 Mason Ave # C
Third Floor
Staten Island, NY 10305-3408
Phone (718) 226-1251

National Provider Directory

National Provider Directory

Locations

256 Mason Ave
Fl C3
Staten Island, NY 10305
Phone (718) 226-1251

256 Mason Ave
Fl Third
Staten Island, NY 10305
Phone (718) 226-1251

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1407133440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 MASON AVE # C",
            "address_2": "THIRD FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053408",
            "telephone_number": "718-226-1251",
            "fax_number": "718-226-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 MASON AVE # C",
            "address_2": "THIRD FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053408",
            "telephone_number": "718-226-1251",
            "fax_number": "718-226-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAVIEW SKIN CANCER SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "PELORO",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "MOHS SURGEON",
        "authorized_official_telephone_number": "732-995-2967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "201613-1",
            "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 Nov 4, 2011; 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.