Individual provider Active NPI

Charles F Sineri II, DO

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1639557382
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
288571 Issued in NY
Practice address
300 Bard Ave
Staten Island, NY 10310-1662
Phone
(718) 818-1234
NPI assigned
May 14, 2015
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2885711 NY
Cardiovascular Disease Physician 207RC0000X OC-0300 ID
Cardiovascular Disease Physician 207RC0000X 95915 GA
Cardiovascular Disease Physician 207RC0000X 3223 AL
Cardiovascular Disease Physician 207RC0000X 05-47725 KS
Cardiovascular Disease Physician 207RC0000X C1621 KY
Cardiovascular Disease Physician 207RC0000X 036164590 IL
Cardiovascular Disease Physician 207RC0000X 288571 NY Primary

Addresses

Primary practice location

300 Bard Ave
Staten Island, NY 10310-1662

Mailing address

300 Bard Ave
Staten Island, NY 10310-1662
Phone (718) 818-1234

Other practice location 1

6 Care Ln
Saratoga Springs, NY 12866-8651
Phone (518) 587-7625

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AL, GA, KS, ID, IL, KY, VA, CA9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20200612001678 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8729338017 Reassigns benefits to 3 organizations
I20240626000514 AL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8729338017 Reassigns benefits to 1 organization
I20240626000740 GA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8729338017 Reassigns benefits to 1 organization
I20240628001413 KS Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8729338017
I20240628002989 ID Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8729338017 Reassigns benefits to 1 organization
I20240703001480 IL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8729338017 Reassigns benefits to 1 organization
I20240719002647 KY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8729338017 Reassigns benefits to 1 organization
I20250214000609 VA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 8729338017 Reassigns benefits to 1 organization
I20260528004650 CA Practitioner - Cardiovascular Disease (Cardiology) 8729338017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
West Virginia School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glutality Provider Group PAGroup PAC ID 9032549837, 8 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1 Westbrook Corporate Ctr
Suite 300
Westchester, IL 60154-5709
Phone (561) 678-2026

11 Ralph PL
Suite 201
Staten Island, NY 10304-4405
Phone (718) 981-2684

2100 Southbridge Pkwy
Suite 650
Birmingham, AL 35209-1302
Phone (561) 678-2026

301 Riverview Ave
Suite 700
Norfolk, VA 23510-1065
Phone (757) 252-9365

3455 Peachtree Rd NE
FL 5
Atlanta, GA 30326-3254
Phone (561) 678-2026

3597 E Monarch Sky LN
Suite 240
Meridian, ID 83646-1055
Phone (561) 678-2026

9850 Von Allmen CT
Suite 201
Louisville, KY 40241-2855
Phone (561) 678-2026

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2885711NYMDInternal Medicine Physician
3223ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glutality Provider Group of Kansas, PA. Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Glutality Provider Group of New Jersey, PA. Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 26, 2024 Accepting new patients
Amboy Medical Practice PC Internal Medicine CurrentSince May 4, 2020 Accepting new patients
Amboy Medical Practice PC CurrentSince May 4, 2020 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Nov 14, 2024 Accepting new patients
Doctor Stephanie Famulari Podiatrist PC Past Accepting new patients

Locations

5300 Broken Sound Blvd NW
Ste 200
Boca Raton, FL 33487
Phone (888) 657-2560

401 Fairway Dr
Ste 200
Deerfield Beach, FL 33441
Phone (561) 208-1970

3455 Peachtree Rd NE
Fl 5
Atlanta, GA 30326
Phone (336) 312-6837

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

11835 Queens Blvd
Ste 200
Forest Hills, NY 11375
Phone (561) 208-1970

600 3rd Ave
Fl 2
New York, NY 10016
Phone (212) 547-8861

6 Care Ln
Saratoga Springs, NY 12866
Phone (518) 581-1415

11 Ralph Pl
Staten Island, NY 10304
Phone (718) 273-5666

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

476 Klondike Ave
Staten Island, NY 10314
Phone (718) 494-7670

11 Ralph Pl
Ste 202
Staten Island, NY 10304
Phone (718) 448-1555

1441 South Ave
Ste 205
Staten Island, NY 10314

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

11 Ralph Pl
Ste 201
Staten Island, NY 10304
Phone (718) 556-6565

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

301 Riverview Ave
Ste 700
Norfolk, VA 23510
Phone (757) 252-9365

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: csineri64534@northwell.direct-ci.com
  • Direct secure messaging: csineri109491@albanymed.direct-ci.com
  • Direct secure messaging: charles.sineri.1@29601.direct.athenahealth.com
  • Direct secure messaging: telemed2u.charlessineri@160918.advancedmd-direct.com
  • Direct secure messaging: csineri2894594@direct.trinity-health.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1639557382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101662",
            "telephone_number": "718-818-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101662",
            "telephone_number": "718-818-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Care Ln",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128668651",
            "country_code": "US",
            "telephone_number": "518-587-7625",
            "fax_number": "518-587-0273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINERI",
        "first_name": "CHARLES",
        "middle_name": "F",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2885711",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ID",
            "license": "OC-0300",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "95915",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "3223",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "05-47725",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "C1621",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036164590",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "288571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "6 Care Ln",
            "city": "Saratoga Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128668651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.