PHYSICIANS OF UNIVERSITY HOSPITAL PC NPI 1417901323

NPI Information

NPI: 1417901323
Provider Name: PHYSICIANS OF UNIVERSITY HOSPITAL, PC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
375 SEGUINE AVE
2ND FL.
STATEN ISLAND, NY
ZIP 10309
Phone: (718) 226-6789
Get Directions

PHYSICIANS OF UNIVERSITY HOSPITAL, PC is a geriatric medicine internal medicine in Staten Island, NY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. PHYSICIANS OF UNIVERSITY HOSPITAL, PC NPI is 1417901323. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

375 SEGUINE AVE
2ND FL.
STATEN ISLAND, NY
ZIP 10309-932
Phone: (718) 226-6789
Fax: (718) 226-6224

The provider's authorized official is Mark Jarrett .
The authorized official title is Director and has the following contact phone number (516) 465-3214.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 11/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	No
2	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
4	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	No
5	103T00000X	Psychologist		No
6	1041C0700X	Social Worker	Clinical	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
8	2085R0001X	Radiology	Radiation Oncology	No
9	2080P0205X	Pediatrics	Pediatric Endocrinology	No
10	208200000X	Plastic Surgery		No
11	207R00000X	Internal Medicine		No
12	363L00000X	Nurse Practitioner		No
13	207RG0300X	Internal Medicine	Geriatric Medicine	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WHW681	MEDICARE PIN	NEW YORK
2	02808139	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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