Active NPI
Seaview Skin Cancer Surgery, LLC
- Medical Specialty Clinic/Center
- Staten Island, NY
National Provider Identifier
1407133440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 201613-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.