Organization Active NPI

Staten Island Pediatric Hematology Oncology Assoc.

  • Pediatric Hematology & Oncology Physician
  • Staten Island, NY
National Provider Identifier
1457714230
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
189369 Issued in NY
Legal business name
STATEN ISLAND PEDIATRIC HEMATOLOGY ONCOLOGY ASSOC.
Practice address
314 Seaview Ave
Staten Island, NY 10305-2246
Phone
(718) 987-5717
Fax
(718) 668-3420
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Dr. Joan Frances Graziano, M.D.
Title
Partner
Phone
(718) 987-5717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X 189369 NY Primary

Addresses

Primary practice location

314 Seaview Ave
Staten Island, NY 10305-2246

Mailing address

314 Seaview Ave
Staten Island, NY 10305-2246
Phone (718) 987-5717

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1457714230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052246",
            "telephone_number": "718-987-5717",
            "fax_number": "718-668-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052246",
            "telephone_number": "718-987-5717",
            "fax_number": "718-668-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND PEDIATRIC HEMATOLOGY ONCOLOGY ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "GRAZIANO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-987-5717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "189369",
            "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 Mar 30, 2016; 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.