STATEN ISLAND UNIVERSITY HOSPITAL
NPI 1053556159
General Acute Care Hospital in Staten Island, NY

Active since December 04, 2008CLIA Certified · 3 labs
256 MASON AVE, STATEN ISLAND, NY 10305(718) 226-6400 Get Directions Write a Review

NPPES record last updated: December 4, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • General Acute Care Hospital
  • CLIA Number: 33D2244995
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About STATEN ISLAND UNIVERSITY HOSPITAL

This page provides the complete NPI Profile along with additional information for Staten Island University Hospital, a provider established in Staten Island, New York operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1053556159 assigned on December 2008. The practitioner's primary taxonomy code is 282N00000X with license number 003191 (NY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Raymond Elsoueidi Md (Hematology/oncology Fellow)

NPI
1053556159 Verify this NPI
Provider Name
STATEN ISLAND UNIVERSITY HOSPITAL
Entity Type
Organization
Location Address
256 MASON AVE STATEN ISLAND, NY 10305
Location Phone
(718) 226-6400
Mailing Address
320 DONGAN HILLS AVE STATEN ISLAND, NY 10305
Mailing Phone
(718) 668-9442
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2008
Last Update Date
12-04-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
003191
License State
NY
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RAYMOND ELSOUEIDI MD

Authorized Official Title
HEMATOLOGY/ONCOLOGY FELLOW
Authorized Official Phone
(718) 226-6400

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
33D2244995
Facility Type
Physician Office
Certificate Effective Date
December 08, 2021
Certificate Expiration Date
March 26, 2027
Laboratory Director
GUO-XIA TONG
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Staten Island University Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Pathology (Clinical Pathology/Laboratory Medicine)
256 MASON AVE
STATEN ISLAND, NY 10305
Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Surgery
256 MASON AVE
STATEN ISLAND, NY 10305
Surgery
256 MASON AVE
STATEN ISLAND, NY 10305
Surgery
256 MASON AVE
STATEN ISLAND, NY 10305
Surgery (Vascular Surgery)
256 MASON AVE, BUILDING B 2ND FLOOR
STATEN ISLAND, NY 10305
Surgery (Surgical Critical Care)
256 MASON AVE
STATEN ISLAND, NY 10305
Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Colon & Rectal Surgery
256 MASON AVE
STATEN ISLAND, NY 10305
Surgery (Plastic and Reconstructive Surgery)
256 MASON AVE
STATEN ISLAND, NY 10305
Radiology (Vascular & Interventional Radiology)
256 MASON AVE, BUILDING C
STATEN ISLAND, NY 10305
Radiology (Diagnostic Radiology)
256 MASON AVE
STATEN ISLAND, NY 10305
Dietitian, Registered
256 MASON AVE
STATEN ISLAND, NY 10305
Otolaryngology
256 MASON AVE
STATEN ISLAND, NY 10305
Nurse Practitioner (Family)
256 MASON AVE, BUILDING B
STATEN ISLAND, NY 10305
Pediatrics (Pediatric Hematology-Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053556159, enumerated as an "organization" on December 04, 2008.

The provider is located at 256 MASON AVE STATEN ISLAND, NY 10305 and the phone number is (718) 226-6400.

General Acute Care Hospital with taxonomy code 282N00000X.