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STATEN ISLAND UNIVERSITY HOSPITAL
NPI 1093084659
Psychiatric Hospital in Staten Island, NY

Active since December 27, 2011CLIA 33D0725182 · Certificate of Compliance
375 SEGUINE AVE, STATEN ISLAND, NY 10309(718) 226-2473(718) 226-2964 Get Directions Write a Review

NPPES record last updated: December 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Staten Island University Hospital NPPES

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

STATEN ISLAND UNIVERSITY HOSPITAL (NPI 1093084659) is a healthcare organization registered as a psychiatric hospital in Staten Island, New York and active in the NPI registry since December 2011. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Kim Savettiere, Registered Nurse/manager, as its authorized official.

NPPES Registry Identity

NPI1093084659
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSTATEN ISLAND UNIVERSITY HOSPITAL
Location Address375 SEGUINE AVEStaten Island, NY 10309-3932
Mailing Address375 Seguine AvenueStaten Ilsland, NY 10309-3932
Phone(718) 226-2473
Fax(718) 226-2964
Organization SubpartNo
Authorized OfficialKim SavettiereRegistered Nurse/manager · (718) 226-2473
Enumeration DateDecember 27, 2011
✔ NPI 1093084659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in NY · 527729-1
Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

375 SEGUINE AVE, Staten Island, NY 10309
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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 Compliance 33D0725182

Staten Island University Hospital Prince's Bay Blood Gas Lab · Staten Island, NY
Active · expires Mar 26, 2027
CLIA Number33D0725182
Laboratory TypeHospital
Certificate Effective DateAugust 28, 1995
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Jocelyn D. Villanueva
Laboratory Phone(718) 226-2125
Laboratory LocationStaten Island University Hospital Prince's Bay Blood Gas Lab375 Seguine Ave, Staten Island, NY 10309
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

LUIS ALBERTO QUIEL M.D.
Hospitalist
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 226-6902
JUNHYEOK CHOI
Physician Assistant
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 226-2000
JAMES PATRICK LEAHY JR. PMHNP-BC
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 226-9000
MS. MAGDALENA A LUBINSKI PA-C
Physician Assistant
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 226-2000
DR. MICHAEL COSTES M.D.
Anesthesiology
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 226-2000
DR. WAI-KWOK TAM MD
Internal Medicine
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (781) 226-2051
MRS. DEBRA SNOW MORIARTY F.N.P.
Nurse Practitioner (Family)
375 SEGUINE AVE, EMPLOYEE HEALTH
STATEN ISLAND, NY 10309
Richmond County (718) 226-2099
MRS. GABRIELLA MEDVEDOVSKY DPT
Physical Therapist
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 226-9000

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 University Hospital's NPI number?

The NPI number for Staten Island University Hospital is 1093084659. It was assigned to this organization in the NPPES registry on December 27, 2011.

Where is Staten Island University Hospital located?

Staten Island University Hospital is located at 375 Seguine Ave, Staten Island, NY 10309. The listed phone number is (718) 226-2473.

What is Staten Island University Hospital's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Staten Island University Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0725182) 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 University Hospital was last updated on December 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.