Active NPI
Physicians of University Hospital, PC
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- PHYSICIANS OF UNIVERSITY HOSPITAL, PC
- Practice address
- 375 Seguine Ave
2ND FL.
Staten Island, NY 10309-3932 - Phone
- (718) 226-6789
- Fax
- (718) 226-6224
- NPI assigned
- May 22, 2006
- Last updated
- Dec 3, 2025
- 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. Mark Jarrett, MD
- Title
- Director
- Phone
- (516) 465-3214
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Internal Medicine Physician | 207R00000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary | ||
| Pediatric Endocrinology Physician | 2080P0205X | |||
| Plastic Surgery Physician | 208200000X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Psychiatry Physician | 2084P0800X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Geriatric Psychiatry Physician | 2084P0805X | |||
| Radiation Oncology Physician | 2085R0001X |
Addresses
Primary practice location
375 Seguine Ave
2ND FL.
Staten Island, NY 10309-3932
Mailing address
1 Edgewater St
6TH FL. Payer Relations Dept.
Staten Island, NY 10305-4900
Phone (718) 226-1008
Other practice location 1
584 Forest Ave
Staten Island, NY 10310-2512
Phone (718) 273-0553
Other practice location 2
1776 Richmond Rd
Staten Island, NY 10306-2578
Phone (718) 668-6963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02808139 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080204000002 | NY | Part B Supplier - Clinic/Group Practice | 5890877542 |
Receives reassigned benefits from 580 practitioners 3 other NPIs on this enrollment Practice locations: Staten Island, NY; Brooklyn, NY; Bay Shore, NY; New Hyde Park, NY; New York, NY |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Allergy & Immunology Physician
- Staten Island, NY
- NPI 1013368224
O20080204000002
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
O20080204000002
-
- Anesthesiology Physician
- New York, NY
- NPI 1992200075
O20080204000002
National Provider Directory
National Provider DirectoryLocations (25 of 45)
1185 Town Centre Dr
Ste 125
Eagan, MN 55123
Phone (651) 454-7224
555 Summit Ave
Jersey City, NJ 07306
33 Overlook Rd
Ste 208
Summit, NJ 07901
Phone (908) 522-5794
348 Albany Ave
Brooklyn, NY 11213
Phone (718) 221-1123
369 93rd St
Brooklyn, NY 11209
Phone (212) 434-3420
5724 New Utrecht Ave
Brooklyn, NY 11219
Phone (718) 436-0100
705 86th St
Ste M4
Brooklyn, NY 11228
Phone (347) 245-7745
705 86th St
Ste M5
Brooklyn, NY 11228
Phone (718) 745-2906
8622 Bay Pkwy
Ste 2D
Brooklyn, NY 11214
Phone (718) 372-8318
130 E 77th St
Fl 8
New York, NY 10075
Phone (212) 434-2150
1 Edgewater St
Fl 1
Staten Island, NY 10305
Phone (718) 226-4127
101 Tyrellan Ave
#4
Staten Island, NY 10309
11 Ralph Pl
Ste 213
Staten Island, NY 10304
Phone (718) 556-9400
1110 South Ave
Ste 306
Staten Island, NY 10314
Phone (718) 370-7100
1145 Targee St
Staten Island, NY 10304
Phone (718) 979-2310
1200 South Ave
Ste 106B
Staten Island, NY 10314
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
242 Mason Ave
Fl 2
Staten Island, NY 10305
Phone (718) 226-6377
242 Mason Ave
Fl 6
Staten Island, NY 10305
242 Mason Ave
Ste 1
Staten Island, NY 10305
Phone (718) 226-6262
242 Mason Ave
Ste 2
Staten Island, NY 10305
Phone (718) 226-2279
242 Mason Ave
Ste 5
Staten Island, NY 10305
Phone (718) 226-6283
256 Mason Ave
#B
Staten Island, NY 10305
Phone (718) 226-9175
256 Mason Ave
Bldg 9
Staten Island, NY 10305
256 Mason Ave
Bldg A
Staten Island, NY 10305
Practitioners & affiliated clinicians
Practitioners 632
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rheumatology Physician
- Staten Island, NY
- NPI 1720072481
-
- Infectious Disease Physician
- Staten Island, NY
- NPI 1093210221
-
- Dermatology Physician
- Staten Island, NY
- NPI 1508847104
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1447244124
-
- Dermatology Physician
- Forest Hills, NY
- NPI 1538198809
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1407939705
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1457094138
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1518352244
Single Specialty
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1699115949
Single Specialty
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1477526531
-
- Physical Medicine & Rehabilitation Physician
- Staten Island, NY
- NPI 1700869336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1417901323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EDGEWATER ST",
"address_2": "6TH FL. PAYER RELATIONS DEPT.",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103054900",
"telephone_number": "718-226-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 SEGUINE AVE",
"address_2": "2ND FL.",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093932",
"telephone_number": "718-226-6789",
"fax_number": "718-226-6224"
}
],
"practiceLocations": [
{
"address_1": "584 Forest Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103102512",
"country_code": "US",
"telephone_number": "718-273-0553",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1776 Richmond Rd",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103062578",
"country_code": "US",
"telephone_number": "718-668-6963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PHYSICIANS OF UNIVERSITY HOSPITAL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "JARRETT",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "516-465-3214",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02808139",
"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 Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.