Board Certified Internists of Staten Island PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

170950 Issued in NY

Legal business name

BOARD CERTIFIED INTERNISTS OF STATEN ISLAND PLLC

Practice address

1550 Richmond Ave
Suite 202
Staten Island, NY 10314-1510

Phone

(718) 370-7700

Fax

(718) 370-7798

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Carl Gregory Sceusa, M.D.NPI 1720190259

Title

Physician

Phone

(718) 370-7700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carl G Sceusa, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1720190259
  NPD (past) Authorized official

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1881966182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 RICHMOND AVE",
            "address_2": "SUITE 202",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141510",
            "telephone_number": "718-370-7700",
            "fax_number": "718-370-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 RICHMOND AVE",
            "address_2": "SUITE 202",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141510",
            "telephone_number": "718-370-7700",
            "fax_number": "718-370-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD CERTIFIED INTERNISTS OF STATEN ISLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "SCEUSA",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-370-7700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "170950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Howard Blumenthal, RPH
• Judith W Blumert, LCSW
• Allison Paige Blutstein, DDS
• BMB Medical PC
• Janelle Boakye
• Board of Education
• Teshaun Board, LCSW
• Tatyana Bobrik, OT
• Adriana Bocanumenth
• Barbara Lyn Bocchino Moran, MSED

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.