NPIMap

Organization Active NPI

Superior Clinical Care PLLC

  • Contractor
  • Staten Island, NY
National Provider Identifier
1952773038
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
SUPERIOR CLINICAL CARE PLLC
Practice address
178 Morrison Ave
Staten Island, NY 10310
Phone
(718) 442-3646
Fax
(718) 442-3646
NPI assigned
Oct 28, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Miriam M Pratt, MSCCC-SLPNPI 1326266206
Title
Principal
Phone
(718) 442-3646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NY Primary

Addresses

Primary practice location

178 Morrison Ave
Staten Island, NY 10310

Mailing address

178 Morrison Ave
Staten Island, NY 10310
Phone (718) 442-3646

Other identifiers 1

IdentifierTypeStateIssuer
SUPERIOR6126MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Superior Clinical Care PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1952773038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 MORRISON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10310",
            "telephone_number": "718-442-3646",
            "fax_number": "716-442-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 MORRISON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10310",
            "telephone_number": "718-442-3646",
            "fax_number": "718-442-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR CLINICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "17184423646",
        "authorized_official_credential": "MSCCC-SLP"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUPERIOR6126",
            "state": "NY"
        }
    ],
    "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 Oct 28, 2015; 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.