RICHMOND UNIVERSITY MEDICAL CENTER NPI 1811054042

NPI Information

NPI: 1811054042
Provider Name: RICHMOND UNIVERSITY MEDICAL CENTER

Former Legal Business Name: CASTLETON ACQUISITION CORP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
355 BARD AVE
STATEN ISLAND, NY
ZIP 10310
Phone: (718) 818-4570
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RICHMOND UNIVERSITY MEDICAL CENTER is a multi-specialty clinic center in Staten Island, NY. RICHMOND UNIVERSITY MEDICAL CENTER NPI is 1811054042. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Castleton Acquisition Corp.

The provider's business location address is:

355 BARD AVE
STATEN ISLAND, NY
ZIP 10310-664
Phone: (718) 818-4570

The provider's authorized official is Rich Salhany .
The authorized official title is Coo and has the following contact phone number (718) 818-2413.

The enumeration date for this NPI number is 1/3/2007 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
1	261QM1300X	Clinic/Center	Multi-Specialty			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	PENDING	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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