Medical Services of Staten Island PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MEDICAL SERVICES OF STATEN ISLAND PLLC

Practice address

4277 Richmond Ave
Staten Island, NY 10312-2021

Phone

(718) 227-1282

NPI assigned

Aug 13, 2024

Last updated

Sep 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anu Sampat, MD

Title

Owner

Phone

(718) 227-1282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1962233791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WHITE ROCK TER",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331645",
            "telephone_number": "718-227-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122021",
            "telephone_number": "718-227-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES OF STATEN ISLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "SAMPAT",
        "authorized_official_first_name": "ANU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-227-1282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.