SUNY BROCKPORT STUDENT HEALTH CENTER
NPI 1033465539
Clinic/Center - Student Health in Brockport, NY

Active since August 02, 2012CLIA 33D0677045 · Microscopy
350 NEW CAMPUS DR, HAZEN HALL, BROCKPORT, NY 14420(585) 395-2414 Get Directions Write a Review

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suny Brockport Student Health Center NPPES

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

SUNY BROCKPORT STUDENT HEALTH CENTER (NPI 1033465539) is a healthcare organization registered as a student health in Brockport, New York and active in the NPI registry since August 2012. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Wendy L Vergamini, Assistant Director, as its authorized official.

NPPES Registry Identity

NPI1033465539
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameSTATE UNIVERSITY OF NEW YORK COLLEGE AT BROCKPORT
Location Address350 NEW CAMPUS DR, HAZEN HALLBrockport, NY 14420-2997
Mailing Address350 New Campus Dr, Hazen HallBrockport, NY 14420-2997 · (585) 395-2414
Organization SubpartNo
Authorized OfficialWendy L VergaminiAssistant Director · (585) 395-5144
Enumeration DateAugust 2, 2012
NPI 1033465539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
350 NEW CAMPUS DR, Brockport, NY 14420

Other Names 1

Other NameSuny Brockport Student Health Center

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 for Provider-Performed Microscopy Procedures (PPMP) 33D0677045

Suny Brockport Student Health Center · Brockport, NY
Active · expires Mar 26, 2027
CLIA Number33D0677045
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 9, 1999
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Nilsa M. Martinez
Laboratory Phone(585) 395-2414
Laboratory LocationSuny Brockport Student Health CenterHazen Health Center - 350 New Campus Drive, Brockport, NY 14420
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

Specialist/Technologist (Athletic Trainer)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Nurse Practitioner (Family)
350 NEW CAMPUS DR, HAZEN STUDENT HEALTH CENTER
BROCKPORT, NY 14420
Nurse Practitioner (Family)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Nurse Practitioner (Family)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Specialist/Technologist (Athletic Trainer)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Nurse Practitioner (Adult Health)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Student in an Organized Health Care Education/Training Program
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Nurse Practitioner (Family)
350 NEW CAMPUS DR, HAZEN HALL
BROCKPORT, NY 14420

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 University Of New York College At Brockport's NPI number?

The NPI number for State University Of New York College At Brockport is 1033465539. It was assigned to this organization in the NPPES registry on August 2, 2012. The provider is also known as Suny Brockport Student Health Center.

Where is State University Of New York College At Brockport located?

State University Of New York College At Brockport is located at 350 New Campus Dr Hazen Hall, Brockport, NY 14420. The listed phone number is (585) 395-2414.

What is State University Of New York College At Brockport's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Does State University Of New York College At Brockport hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0677045) is associated with this NPI, valid through March 26, 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 State University Of New York College At Brockport was last updated on August 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.