Organization Active NPI

Nova Treatment Center LLC

  • Substance Abuse Rehabilitation Facility
  • Staten Island, NY
National Provider Identifier
1477440535
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NOVA TREATMENT CENTER LLC
Practice address
177 Ellis St
Staten Island, NY 10307-1128
Phone
(646) 335-5140
NPI assigned
Jun 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Jennifer Palmieri, RNNPI 1275154346
Title
Ceo
Phone
(646) 533-7653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

177 Ellis St
Staten Island, NY 10307-1128

Mailing address

177 Ellis St
Staten Island, NY 10307-1128

National Provider Directory

National Provider Directory

Locations

177 Ellis St
Staten Island, NY 10307
Phone (646) 335-5140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1477440535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 ELLIS ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 ELLIS ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071128",
            "telephone_number": "646-335-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-21",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "PALMIERI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-533-7653",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "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 Jun 25, 2025; 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.