Active NPI
Susan Lee Sciortino, FNP
- Family Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F332496
- Practice address
- 2800 Victory Blvd
The College of Staten Island Campus Health Center
Staten Island, NY 10314 - Phone
- (718) 982-3045
- Fax
- (718) 982-2966
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F332496 | NY | Primary |
Addresses
Primary practice location
2800 Victory Blvd
The College of Staten Island Campus Health Center
Staten Island, NY 10314
Mailing address
2800 Victory Blvd
Room 112 Campus Health Center 1C
Staten Island, NY 10314
Phone (718) 982-3045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120724000069 | NY | Practitioner - Nurse Practitioner | 7517123318 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F332496 | NY | MD | Family Medicine Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Narrows Medical Group PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Family Medicine | Current | Accepting new patients |
| Physicians of University Hospital PC | Family Medicine | Current | Accepting new patients |
Locations
300 Community Dr
Plandome, NY 11030
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
11 Ralph Pl
Ste 214
Staten Island, NY 10304
Phone (718) 226-6398
375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- ssciortino61007@northwell.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
NY
-
- Allergy & Immunology Physician
- Staten Island, NY
- NPI 1013368224
Family Medicine
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699737700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 VICTORY BLVD",
"address_2": "ROOM 112 CAMPUS HEALTH CENTER 1C",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10314",
"telephone_number": "718-982-3045",
"fax_number": "718-982-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 VICTORY BLVD",
"address_2": "THE COLLEGE OF STATEN ISLAND CAMPUS HEALTH CENTER",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10314",
"telephone_number": "718-982-3045",
"fax_number": "718-982-2966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIORTINO",
"first_name": "SUSAN",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "F332496",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.