NPIMap

Organization Active NPI

OB-GYN Associates of Staten Island, P.C.

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
National Provider Identifier
1578718979
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OB-GYN ASSOCIATES OF STATEN ISLAND, P.C.
Practice address
1984 Richmond Rd
Staten Island, NY 10306-2550
Phone
(718) 668-2096
Fax
(718) 667-1388
NPI assigned
Nov 26, 2008
Last updated
Jun 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Ms. Dorothy J. Sellitto
Title
Manager
Phone
(718) 668-2096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1984 Richmond Rd
Staten Island, NY 10306-2550

Mailing address

1984 Richmond Rd
Staten Island, NY 10306-2550
Phone (718) 668-2096

National Provider Directory

National Provider Directory

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": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1578718979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062550",
            "telephone_number": "718-668-2096",
            "fax_number": "718-667-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062550",
            "telephone_number": "718-668-2096",
            "fax_number": "718-667-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN ASSOCIATES OF STATEN ISLAND, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "SELLITTO",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-668-2096",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "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 15, 2009; 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.