Active NPI
Staten Island Urological Associates
- Urology Physician
- Staten Island, NY
National Provider Identifier
1457576787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- STATEN ISLAND UROLOGICAL ASSOCIATES
- Practice address
- 1460 Victory Blvd
Staten Island, NY 10301 - Phone
- (718) 273-1678
- NPI assigned
- Apr 13, 2007
- 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
- Matteo Pugliese
- Title
- Billing Manager
- Phone
- (718) 273-1678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1460 Victory Blvd
Staten Island, NY 10301
Mailing address
1460 Victory Blvd
Staten Island, NY 10301
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457576787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10301",
"telephone_number": "718-273-1678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATEN ISLAND UROLOGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PUGLIESE",
"authorized_official_first_name": "MATTEO",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "718-273-1678"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- Staten Island University Hospital Behavorial Medicine Group
- Staten Island University Hospital Pathology Group
- Staten Island University Hospital Perinatology, PC
- Staten Island University Hospital Physician Assistant Surgical Group
- Staten Island Universty Hospital
- Staten Island Vein Treatment & Practice PLLC
- Staten Island Vision Express, LLC
- Staten Island Vision Eye Care, LLC
- Staten Island YMCA Counseling Service
- Peter Stathopoulos, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.