NPIMap

Organization Active NPI

Staten Island University Hospital

  • General Acute Care Hospital
  • Staten Island, NY
National Provider Identifier
1477815520
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
STATEN ISLAND UNIVERSITY HOSPITAL
Practice address
227 Koch Blvd
Staten Island, NY 10312-5416
Phone
(917) 655-6207
NPI assigned
Jun 14, 2012
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH SHORE LIJAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Otar Datan, MD
Title
Pgy-1
Phone
(917) 655-6207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NY Primary

Addresses

Primary practice location

227 Koch Blvd
Staten Island, NY 10312-5416

Mailing address

227 Koch Blvd
Staten Island, NY 10312-5416
Phone (917) 655-6207

National Provider Directory

National Provider Directory
Tax ID family
Staten Island University Hospital Behavorial Medicine Group21 organizations share this tax ID, including this one
Part of
North Shore-Lij Health System

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1477815520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 KOCH BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125416",
            "telephone_number": "917-655-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 KOCH BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125416",
            "telephone_number": "917-655-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND UNIVERSITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH SHORE LIJ",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "DATAN",
        "authorized_official_first_name": "OTAR",
        "authorized_official_title_or_position": "PGY-1",
        "authorized_official_telephone_number": "917-655-6207",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "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 14, 2012; 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.