NPIMap

Organization Active NPI

Nsuh South Beach Physicians Ufp Corporation

  • Geriatric Medicine (Internal Medicine) Physician
  • Staten Island, NY
National Provider Identifier
1891682407
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
NSUH SOUTH BEACH PHYSICIANS UFP CORPORATION
Practice address
420 Lyndale Ave
Staten Island, NY 10312-6131
Phone
(718) 967-5630
Fax
(718) 967-5638
NPI assigned
Jun 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Sharlene Bronstorph
Title
Director, Revenue Cycle
Phone
(516) 719-5755

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

420 Lyndale Ave
Staten Island, NY 10312-6131

Mailing address

420 Lyndale Ave
Staten Island, NY 10312-6131
Phone (718) 967-5630

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1891682407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LYNDALE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126131",
            "telephone_number": "718-967-5630",
            "fax_number": "718-967-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LYNDALE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126131",
            "telephone_number": "718-967-5630",
            "fax_number": "718-967-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSUH SOUTH BEACH PHYSICIANS UFP CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "BRONSTORPH",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "516-719-5755"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "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 Jun 18, 2025; 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.