Staten Island University Hospital
Organization Active NPI General Acute Care Hospital · Staten Island, NY
NPI 1407877137 · NPPES record last updated Jul 31, 2025
Key facts
- NPI
- 1407877137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 7004003H (NY)
- Legal business name
- STATEN ISLAND UNIVERSITY HOSPITAL
- Practice address
- 475 Seaview Ave
Staten Island, NY 10305-3436 - Phone
- (718) 226-4502
- Fax
- (718) 226-4875
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Michele L Cusack
- Title
- Senior Vice President and Cfo
- Phone
- (516) 321-6058
Owners & managing parties with NPI records 3
-
John D'Angelo, MD
-
David L Battinelli, M.D.
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 20
Member of 1
Related certifications (CCN) 2
Facilities with the same owner 42
Practitioners 247
-
Poppy Addison, MD
-
Khaleda Akter, MD
-
Eman Al-Janabi, MD
-
Esam Alhariri, M.D
-
Omer Alomari, DO
-
Abeeda Anjum, MD
-
Michelle Arms, MD
-
Omar John Arnuk, MD
-
Andrew Scott Athanassiou, M.D.
-
Basem Nady Azab, M.D.
-
Salman Azhar, M.D.
-
Rawan Badran, MD
-
Ryan Barry, D.O.
-
Jay B. Basillote, M.D.
-
Paige Bates, MD
-
Supreeti Behuria, M.D.
-
Varun Bhasin, MD
Affiliated clinicians 1,087
-
Deborah Aanonsen, D.O.
-
Hassan Abbas, M.D.
-
Joseph Aboujaoude, M.D.
-
Frank Acerra, D.O.
-
Donna Acquafredda, M.D.
-
Dumisa Adams, MD
-
Poppy Addison, MD
-
Andrew Paul Agoliati, M.D.
-
Para Ahilan, MD
-
Tauqeer Ahmad, MD
-
Mohamed Mohamed Rahouma Ahmed, MD, MSC
-
Sara B Ahmed, M.D.
-
Folasade Ajisegbede, CRNA
-
Sabia Iram Akbar, DO
-
Philippe Akhrass, MD
-
Leonora Akikovski, FNP
-
Khaleda Akter, MD
-
Eman Al-Janabi, MD
Medicare Care Compare: Hospital
- Listed as
- Staten Island University Hospital
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Hospital certification: CCN 330160
- Legal name
- STATEN ISLAND UNIVERSITY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jul 14, 2023
- Beds
- 714
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jun 15, 1987 (1 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 11, 1989 in NY
- Enrollment address
- 475 Seaview Avenue
Staten Island, NY 10305-3436 - Hospital subgroups
- General, Acute care, Psychiatric, Rehabilitation
All disclosed owners & managing parties 25
| Name | Role | Since | Share |
|---|---|---|---|
| William L Mack |
Corporate Officer | Jan 30, 2015 | |
| Margaret M Crotty |
Corporate Officer | Jan 1, 2025 | |
| Northwell, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 100% |
| Harry E Gindi |
Corporate Officer | Jan 1, 2025 | |
| Jeffrey a Kraut |
Corporate Officer | Jan 1, 2025 | |
| Robert D Rosenthal |
Corporate Officer | Jan 1, 2025 | |
| Mark L Claster |
Corporate Officer | Jan 30, 2015 | |
| Brian Lally |
Corporate Officer | Jan 1, 2025 | |
| Mark J Solazzo |
Corporate Officer | Jan 30, 2015 | |
| W-2 Managing Employee | Jan 30, 2015 | ||
| Richard D Goldstein |
Corporate Officer | Jan 30, 2015 | |
| Northwell Healthcare Inc |
5% Or Greater Direct Ownership Interest | Jan 1, 2015 | 100% |
| Operational/Managerial Control | Mar 1, 1994 | ||
| David L Battinelli |
Corporate Officer | Jan 1, 2025 | |
| Donald Zucker |
Corporate Officer | Jan 30, 2015 | |
| Barry Rubenstein |
Corporate Officer | Jan 30, 2015 | |
| Northwell Health Inc |
5% Or Greater Indirect Ownership Interest | Jan 1, 2015 | 100% |
| Michael a Epstein |
Corporate Officer | Jan 1, 2025 | |
| Mark a. Gloade |
Corporate Officer | Jan 1, 2025 | |
| John K D'Angelo |
Corporate Officer | Jan 1, 2025 | |
| Donna K Drummond |
Corporate Officer | Jan 1, 2025 | |
| Michael J Dowling |
Corporate Director | Jan 30, 2015 | |
| W-2 Managing Employee | Jan 30, 2015 | ||
| Laurence a Kraemer |
Corporate Officer | Jan 1, 2025 | |
| Konstantine Costalas |
Corporate Officer | Jan 1, 2025 | |
| Ralph a Nappi |
Corporate Officer | Jan 30, 2015 | |
| Kevin Beiner |
Corporate Officer | Jan 1, 2025 | |
| Michele L Cusack |
Corporate Officer | Sep 12, 2017 | |
| Corporate Director | Sep 12, 2017 | ||
| W-2 Managing Employee |
Sep 12, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000254 | NY | Part a Provider - Hospital | 8628985504 | Practice locations: Brooklyn, NY; Staten Island, NY |
National Provider Directory
- Tax ID family
- Staten Island University Hospital - Early Intervention
Locations
1 Edgewater St
Ste 3
Staten Island, NY 10305
Phone 7189477000 ext. 7036
Interoperability endpoints
- siuhhospscm@northwell.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 7004003H | NY | Yes |
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 practice location 1
375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-5797
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00244202 | Medicaid | NY | |
| 0091401 | Other | GHI/OMH SUBSTANCE ABUSE | |
| A36976 | Other | OXFORD RADIOLOGY | |
| 000081 | Other | BLUE CROSS | |
| 000501301 | Other | AMERICHOICE | |
| 962 | Other | ANTHEM | |
| H03123 | Other | OXFORD | |
| 001342 | Other | HORIZON | |
| 5000069 | Other | UNITED HEALTH | |
| 000412345697 | Other | HEALTHPLUS | |
| 00881 | Other | FIDELIS | |
| ANC1049 | Other | OXFORD | |
| 2946 | Other | HEALTHFIRST | |
| 000201/00201 | Other | BLUE CROSS BURN | |
| 13297 | Other | AETNA/USHEALTHCARE | |
| 16297 | Other | GHI | |
| IC0093/IC0094 | Other | PHS | |
| NPC91662 | Other | ELDERPLAN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | siuhhospscm@northwell.allscriptsdirect.net | Health Information Exchange (HIE) | |
| FHIR URL | https://fhir.northwell.edu/FHIR | Health Information Exchange (HIE) | |
| Direct Messaging Address | siuhhospscm@northwell.allscriptsdirect.net | Health Information Exchange (HIE) | |
| FHIR URL | https://fhir.northwell.edu/FHIR | Health Information Exchange (HIE) | |
| CONNECT URL | https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark |
| CONNECT URL | https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark |
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All providers in Staten Island, NY · General Acute Care Hospital in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.