STATEN ISLAND DDSO
NPI 1013056712
Intermediate Care Facility, Intellectual Disabilities in Staten Island, NY

Active since February 06, 2007
777 SEAVIEW AVE, STATEN ISLAND, NY 10314(518) 402-4333 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Staten Island Ddso NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATEN ISLAND DDSO (NPI 1013056712) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Staten Island, New York and active in the NPI registry since February 2007. The organization lists Karla Smith, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1013056712
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF NEW YORK
Location Address777 SEAVIEW AVEStaten Island, NY 10314
Mailing Address44 Holland AveAlbany, NY 12229-0001 · (518) 402-4333
Organization SubpartYes
Authorized OfficialKarla SmithDirector Of Central Operations · (518) 402-4333
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJune 25, 2008
NPI 1013056712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in NY · OMRDD276
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

777 SEAVIEW AVE, Staten Island, NY 10314

Other Names 1

Other NameStaten Island Ddso

Other Identifiers 1

Medicaid00665843NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of New York's NPI number?

The NPI number for State Of New York is 1013056712. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is also known as Staten Island Ddso.

Where is State Of New York located?

State Of New York is located at 777 Seaview Ave, Staten Island, NY 10314. The listed phone number is (518) 402-4333.

What is State Of New York's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for State Of New York was last updated on June 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.