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STATEN ISLAND GSC LLC
NPI 1033815915
Clinic/Center - Ambulatory Surgical in Staten Island, NY

Active since February 02, 2023CLIA 33D2278335 · Waiver
2043 RICHMOND AVE FL 1, STATEN ISLAND, NY 10314(718) 975-7574 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Staten Island Gsc Llc NPPES

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

STATEN ISLAND GSC LLC (NPI 1033815915) is a healthcare organization registered as an ambulatory surgical in Staten Island, New York and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Alexander Brun, Vice President, as its authorized official.

NPPES Registry Identity

NPI1033815915
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSTATEN ISLAND GSC LLC
Location Address2043 RICHMOND AVE FL 1Staten Island, NY 10314-3964
Mailing Address2043 Richmond Ave Fl 1Staten Island, NY 10314-3964 · (718) 975-7574
Phone(718) 975-7574
Organization SubpartNo
Authorized OfficialAlexander BrunVice President · (718) 450-4870
Enumeration DateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
✔ NPI 1033815915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2043 RICHMOND AVE FL 1, Staten Island, NY 10314
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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 33D2278335

Staten Island Gsc · Staten Island, NY
Active · expires Mar 26, 2027
CLIA Number33D2278335
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 15, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Igor Grosman
Laboratory Phone(718) 975-7574
Laboratory LocationStaten Island Gsc2043 Richmond Ave - 1st Fl, Staten Island, NY 10314
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Staten Island Gsc LLC's NPI number?

The NPI number for Staten Island Gsc LLC is 1033815915. It was assigned to this organization in the NPPES registry on February 2, 2023.

Where is Staten Island Gsc LLC located?

Staten Island Gsc LLC is located at 2043 Richmond Ave Fl 1, Staten Island, NY 10314. The listed phone number is (718) 975-7574.

What is Staten Island Gsc LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Staten Island Gsc LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2278335) 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 Staten Island Gsc LLC was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.