1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Clinic Center
  6. NPI Profile

USCG SECTOR NY CLINIC
NPI 1033204391
Clinic/Center - Military/U.S. Coast Guard Outpatient in Staten Island, NY

Active since October 04, 2006CLIA 33D1049060 · Waiver
215 DRUM RD, RM D-113, STATEN ISLAND, NY 10305(718) 354-4414(718) 354-4415 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Uscg Sector Ny Clinic NPPES

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

USCG SECTOR NY CLINIC (NPI 1033204391) is a healthcare organization registered as a military/u.s. coast guard outpatient in Staten Island, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Sara Demers, Health Services Tech. 2nd Class, as its authorized official.

NPPES Registry Identity

NPI1033204391
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameUSCG SECTOR NY CLINIC
Location Address215 DRUM RD, RM D-113Staten Island, NY 10305-5001
Mailing Address438 Uss Iowa Cir Apt 5Staten Island, NY 10305-5059
Phone(718) 354-4414
Fax(718) 354-4415
Organization SubpartNo
Authorized OfficialSara DemersHealth Services Tech. 2nd Class · (718) 354-4414
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1033204391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
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.
215 DRUM RD, Staten Island, NY 10305
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1049060

Uscg Sector New York Clinic · Staten Island, NY
Active · expires Jul 19, 2027
CLIA Number33D1049060
Laboratory TypeUscg
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorCdr Berhan Yeh
Laboratory Phone(860) 701-6904
Laboratory LocationUscg Sector New York Clinic215 Drum Road, Staten Island, NY 10305
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNITED STATES COAST GUARD
Health Maintenance Organization
215 DRUM RD
STATEN ISLAND, NY 10305
Richmond County (718) 354-4414
USCG SECTOR NEW YORK PHARMACY
Military/U.S. Coast Guard Pharmacy
215 DRUM RD
STATEN ISLAND, NY 10305
Richmond County (718) 354-4414
TATYANA SERGEYEVA
Military Health Care Provider
215 DRUM RD, RM D-113
STATEN ISLAND, NY 10305
Richmond County (718) 354-4414
MELISSA YVETTE WILLIAMS CMA
Military Health Care Provider
215 DRUM RD
STATEN ISLAND, NY 10305
Richmond County (718) 354-4414
MR. TIMOTHY LIND ARMENTROUT HS
Technician, Other
215 DRUM RD, ROOM 113
STATEN ISLAND, NY 10305
Richmond County (718) 354-4341
MR. SHANE DANIEL BENSON
Military Health Care Provider
215 DRUM RD
STATEN ISLAND, NY 10305
Richmond County (718) 354-4414
ISABELLA WIPF
Military Health Care Provider (Independent Duty Corpsman)
215 DRUM RD
STATEN ISLAND, NY 10305
Richmond County (347) 524-4995
DR. GEORGE ANASTASIOS POURAKIS MD, MPH
Preventive Medicine (Public Health & General Preventive Medicine)
215 DRUM RD, D-113
STATEN ISLAND, NY 10305
Richmond County (718) 354-4414

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 Uscg Sector Ny Clinic's NPI number?

The NPI number for Uscg Sector Ny Clinic is 1033204391. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Uscg Sector Ny Clinic located?

Uscg Sector Ny Clinic is located at 215 Drum Rd Rm D-113, Staten Island, NY 10305. The listed phone number is (718) 354-4414.

What is Uscg Sector Ny Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

Does Uscg Sector Ny Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1049060) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Uscg Sector Ny Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.