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STATEN ISLAND DEVELOPMENTAL DISABILITIES SERVICES OFFICE
NPI 1144423062
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Staten Island, NY

Active since June 07, 2007
1150 FOREST HILL RD, STATEN ISLAND, NY 10314(718) 983-5365(718) 983-5462 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 7, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Staten Island Developmental Disabilities Services Office NPPES

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

STATEN ISLAND DEVELOPMENTAL DISABILITIES SERVICES OFFICE (NPI 1144423062) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Staten Island, New York and active in the NPI registry since June 2007. The organization lists David E Booth, Director, as its authorized official.

NPPES Registry Identity

NPI1144423062
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSTATEN ISLAND DEVELOPMENTAL DISABILITIES SERVICES OFFICE
Location Address1150 FOREST HILL RDStaten Island, NY 10314-6316
Mailing Address1150 Forest Hill RdStaten Island, NY 10314-6316 · (718) 983-5365 · Fax (718) 983-5462
Phone(718) 983-5365
Fax(718) 983-5462
Organization SubpartNo
Authorized OfficialDavid E BoothDirector · (718) 983-5321
Enumeration DateJune 7, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1144423062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NY · 006544
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
1150 FOREST HILL RD, Staten Island, NY 10314
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Other Identifiers 3

Medicaid01113928NY
Other3351739NY · Ncpdp Provider Id
Other006544NY · State License

Other Providers at the Same Location NPPES 3

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

MR. GERRY P SLIGER RPH
Pharmacist
1150 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 983-5365
MR. EUGENE JAMES USKE RPH
Pharmacist
1150 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 983-5365
STATE OF NEW YORK
Case Management
1150 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (518) 457-9835

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 Developmental Disabilities Services Office's NPI number?

The NPI number for Staten Island Developmental Disabilities Services Office is 1144423062. It was assigned to this organization in the NPPES registry on June 7, 2007.

Where is Staten Island Developmental Disabilities Services Office located?

Staten Island Developmental Disabilities Services Office is located at 1150 Forest Hill Rd, Staten Island, NY 10314. The listed phone number is (718) 983-5365.

What is Staten Island Developmental Disabilities Services Office's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Staten Island Developmental Disabilities Services Office was last updated on March 7, 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.