Organization Active NPI

Uscg Sector New York Medical

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Staten Island, NY
National Provider Identifier
1972698777
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
USCG SECTOR NEW YORK MEDICAL
Practice address
215 Drum Rd
RM D 113 Medical
Staten Island, NY 10305-5001
Phone
(718) 354-4414
NPI assigned
Oct 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christopher Carey PerkinsNPI 1437294550
Title
Health Service Tech
Phone
(718) 354-4414

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
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X NU Primary

Addresses

Primary practice location

215 Drum Rd
RM D 113 Medical
Staten Island, NY 10305-5001

Mailing address

215 Drum Rd
RM D 113 Medical
Staten Island, NY 10305-5001
Phone (718) 354-4414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972698777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 DRUM RD",
            "address_2": "RM D 113 MEDICAL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055001",
            "telephone_number": "718-354-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DRUM RD",
            "address_2": "RM D 113 MEDICAL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055001",
            "telephone_number": "718-354-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG SECTOR NEW YORK MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CAREY",
        "authorized_official_title_or_position": "HEALTH SERVICE TECH",
        "authorized_official_telephone_number": "718-354-4414"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "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 Aug 22, 2020; 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.