NPIMap

Organization Active NPI

Richmond Medical Center

  • General Acute Care Hospital
  • Staten Island, NY
National Provider Identifier
1740389154
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
PENDING Issued in NY
Legal business name
RICHMOND MEDICAL CENTER
Practice address
355 Bard Ave
Staten Island, NY 10310-1664
Phone
(718) 818-2494
Fax
(718) 881-1630
NPI assigned
Sep 22, 2006
Last updated
Jun 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Mrs. Robert Ren
Title
VP Revenue Cycle
Phone
(718) 818-2494

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU
General Acute Care Hospital 282N00000X PENDING NY Primary
Ambulance 341600000X NU

Addresses

Primary practice location

355 Bard Ave
Staten Island, NY 10310-1664

Mailing address

355 Bard Ave
Staten Island, NY 10310-1664
Phone (718) 818-2494

Other identifiers 1

IdentifierTypeStateIssuer
00248820MedicaidNY

Other names 1

  • Castleton Acquisition Corporation Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061010000085 NY Part A Provider - Hospital 8628074994 Practice locations: Staten Island, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740389154. Details of each certification follow.

Hospital certification: CCN 330028

Legal name
RICHMOND MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 2, 2025
Beds
473
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 29, 2006 in NY
Enrollment address
355 Bard Ave
Staten Island, NY 10310-1664
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Richmond University Medical CenterCCN 330028 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Catherine Paulo Individual Corporate Director Jan 1, 2007
Dennis Quirk Individual Corporate Director Jan 1, 2007
Gina Gutzeit Individual Corporate Director Jan 1, 2007
Daniel Messina Individual W-2 Managing Employee Apr 28, 2014
David Murray Individual Corporate OfficerSenior VP, Cfo Jun 1, 2022
Kathryn K Rooney Individual Corporate Director Jan 1, 2007 1%

Practitioners & affiliated clinicians

Practitioners 95

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.

View all 95

Affiliated clinicians 299

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 299

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1740389154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-2494",
            "fax_number": "718-818-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-2494",
            "fax_number": "718-881-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "REN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "718-818-2494",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "PENDING",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00248820",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castleton Acquisition Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Castleton Acquisition Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.