Individual provider Active NPI

Susan Lee Sciortino, FNP

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1699737700
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F332496 Issued in NY
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
F332496NYMDFamily Medicine Physician

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
The Narrows Medical Group PC CurrentSince Nov 2, 2014 Accepting new patients
Physicians of University Hospital, PC CurrentSince Apr 18, 2018 Accepting new patients
Physicians of University Hospital, PC Current Accepting new patients
North Shore-Lij Medical PC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Physicians of University Hospital PC Family Medicine CurrentSince Apr 18, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.