MEDSTAT MEDICAL PLLC NPI 1770600348

NPI Information

  • NPI: 1770600348
  • Provider Name: MEDSTAT MEDICAL, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 94 MCCLEAN AVE
    STATEN ISLAND, NY
    ZIP 10305
  • Phone: (718) 556-3377

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NPI Details

MEDSTAT MEDICAL, PLLC is a family medicine in Staten Island, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDSTAT MEDICAL, PLLC NPI is 1770600348. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

94 MCCLEAN AVE
STATEN ISLAND, NY
ZIP 10305-660
Phone: (718) 556-3377
Fax: (718) 556-6388

The provider's authorized official is Tamara Kramskiy .
The authorized official title is President and has the following contact phone number (718) 556-3377.

The enumeration date for this NPI number is 3/26/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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
102665350MEDICAIDNEW 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: 11/21/2025

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