Uscg Sector New York

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

License

0101050128 Issued in VA

Legal business name

USCG SECTOR NEW YORK

Practice address

215 Drum Road
Room D-113
Staten Island, NY 10305

Phone

(718) 354-4414

Fax

(718) 354-4415

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

Timothy L. Armentrout

Title

Clinic Administrator

Phone

(718) 354-4341

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Uscg Clinic St Petersburg65 organizations share this tax ID, including this one

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1770553752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 DRUM ROAD",
            "address_2": "ROOM D-113",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-354-4414",
            "fax_number": "718-354-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DRUM ROAD",
            "address_2": "ROOM D-113",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-354-4414",
            "fax_number": "718-354-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG SECTOR NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "ARMENTROUT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "718-354-4341"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "VA",
            "license": "0101050128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Military/U.S. Coast Guard Outpatient Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.