CAMELOT OF STATEN ISLAND INC. NPI 1942359476

NPI Information

  • NPI: 1942359476
  • Provider Name: CAMELOT OF STATEN ISLAND, INC.
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Doing Business As: CAMELOT COUNSELING CENTERS
  • Address: 263 PORT RICHMOND AVENUE
    STATEN ISLAND, NY
    ZIP 10302
  • Phone: (718) 981-8117

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NPI Details

CAMELOT OF STATEN ISLAND, INC. is an addiction (substance use disorder) counselor in Staten Island, NY. CAMELOT OF STATEN ISLAND, INC. NPI is 1942359476. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Camelot Counseling Centers.

The provider's business location address is:

263 PORT RICHMOND AVENUE
STATEN ISLAND, NY
ZIP 10302
Phone: (718) 981-8117
Fax: (718) 981-8309

The provider's authorized official is Luke J. Nasta .
The authorized official title is Executive Director and has the following contact phone number (718) 356-5100.

The enumeration date for this NPI number is 1/10/2007 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
1101YA0400XCounselorAddiction (Substance Use Disorder)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
101292768MEDICAIDNEW 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: 3/30/2025

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