Provider Type Icon

USCG SECTOR NY CLINIC NPI 1033204391


NPI Information

NPI: 1033204391
Provider Name: USCG SECTOR NY CLINIC
Classification: Clinic/Center - 261QM1100X
Entity Type: Organization

Specialization: Military/U.S. Coast Guard Outpatient

CLIA Number: 33D1049060

Address:
215 DRUM RD
RM D-113
STATEN ISLAND, NY
ZIP 10305
Phone: (718) 354-4414
Get Directions

USCG SECTOR NY CLINIC is a military/u.s. coast guard outpatient clinic center in Staten Island, NY. The provider is the Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. USCG SECTOR NY CLINIC NPI is 1033204391. The provider is registered as an organization entity type.

The provider's business location address is:

215 DRUM RD
RM D-113
STATEN ISLAND, NY
ZIP 10305-001
Phone: (718) 354-4414
Fax: (718) 354-4415

The provider's authorized official is Sara Demers .
The authorized official title is Health Services Tech. 2nd Class and has the following contact phone number (718) 354-4414.

The CLIA number assigned to this NPI record is 33D1049060 - other - uscg with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1100XClinic/CenterMilitary/U.S. Coast Guard OutpatientYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.