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: July 19, 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.Information from the official NPPES registry record, last updated August 22, 2020.

NPPES Registry Identity

NPI1033204391
Entity TypeOrganization
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
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. How NPI validation works

Primary Specialty

Clinic/Center · Military/U.S. Coast Guard Outpatient

Taxonomy 261QM1100X · Ambulatory Health Care Facilities

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… Show more

215 DRUM RD, Staten Island, NY 10305

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D1049060
Facility Type
Other - USCG
Certificate Effective Date
July 20, 2025
Certificate Expiration Date
July 19, 2027
Laboratory Director
CAPT JOSEPH L. PEREZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Uscg Sector Ny Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for USCG SECTOR NY CLINIC

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Technician, Other
215 DRUM RD, ROOM 113
STATEN ISLAND, NY 10305
Military Health Care Provider
215 DRUM RD
STATEN ISLAND, NY 10305
Military Health Care Provider
215 DRUM RD, RM D-113
STATEN ISLAND, NY 10305
Military Health Care Provider
215 DRUM RD
STATEN ISLAND, NY 10305
Military Health Care Provider
215 DRUM RD, RM D 113
STATEN ISLAND, NY 10305
Health Maintenance Organization
215 DRUM RD
STATEN ISLAND, NY 10305
Military Health Care Provider
215 DRUM RD
STATEN ISLAND, NY 10305
Preventive Medicine (Public Health & General Preventive Medicine)
215 DRUM RD, D-113
STATEN ISLAND, NY 10305
Clinic/Center (Military/U.S. Coast Guard Outpatient)
215 DRUM RD, RM D 113 MEDICAL
STATEN ISLAND, NY 10305
Military Health Care Provider (Independent Duty Corpsman)
215 DRUM RD
STATEN ISLAND, NY 10305
Military/U.S. Coast Guard Pharmacy
215 DRUM RD
STATEN ISLAND, NY 10305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033204391, enumerated as an "organization" on October 04, 2006.

The provider is located at 215 DRUM RD RM D-113 STATEN ISLAND, NY 10305 and the phone number is (718) 354-4414.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.