CAMELOT OF SI
NPI 1063806016
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Staten Island, NY

Active since March 26, 2015
460 BRIELLE AVE, STATEN ISLAND, NY 10314(718) 816-6589 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Camelot Of Si NPPES

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

CAMELOT OF SI (NPI 1063806016) is a healthcare organization registered as a substance abuse treatment, children in Staten Island, New York and active in the NPI registry since March 2015. The organization lists Luke J Nasta, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063806016
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameCAMELOT OF SI
Location Address460 BRIELLE AVEStaten Island, NY 10314-6427
Mailing Address460 Brielle AveStaten Island, NY 10314-6427
Organization SubpartNo
Authorized OfficialLuke J NastaExecutive Director · (718) 816-6589
Enumeration DateMarch 26, 2015
NPI 1063806016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

460 BRIELLE AVE, Staten Island, NY 10314

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.

Counselor (Addiction (Substance Use Disorder))
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Licensed Practical Nurse
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Internal Medicine (Hematology & Oncology)
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Psychiatry & Neurology (Neurology)
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Counselor (Addiction (Substance Use Disorder))
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Counselor (Addiction (Substance Use Disorder))
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Nurse Practitioner (Primary Care)
460 BRIELLE AVE
STATEN ISLAND, NY 10314
Social Worker (Clinical)
460 BRIELLE AVE
STATEN ISLAND, NY 10314

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 Camelot Of Si's NPI number?

The NPI number for Camelot Of Si is 1063806016. It was assigned to this organization in the NPPES registry on March 26, 2015.

Where is Camelot Of Si located?

Camelot Of Si is located at 460 Brielle Ave, Staten Island, NY 10314. The listed phone number is (718) 816-6589.

What is Camelot Of Si's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Camelot Of Si was last updated on March 26, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.