BAY STREET HEALTH CENTER
NPI 1174006803
Clinic/Center - Federally Qualified Health Center (FQHC) in Staten Island, NY

Active since September 10, 2018CLIA 33D2313909 · Waiver
57 BAY STREET, BAY STREET HEALTH CENTER, STATEN ISLAND, NY 10301(855) 681-8700(718) 442-1521 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bay Street Health Center NPPES

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

BAY STREET HEALTH CENTER (NPI 1174006803) is a healthcare organization registered as a federally qualified health center (fqhc) in Staten Island, New York and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Adam K. Lipton, Vp Info/practice Mgmt Systems, as its authorized official.

NPPES Registry Identity

NPI1174006803
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSUN RIVER HEALTH INC
Location Address57 BAY STREET, BAY STREET HEALTH CENTERStaten Island, NY 10301-2510
Mailing AddressPo Box 5036White Plains, NY 10602-5036 · (914) 734-8800 · Fax (914) 734-8786
Fax(718) 442-1521
Organization SubpartYes
Authorized OfficialAdam K. LiptonVp Info/practice Mgmt Systems · (914) 384-2375
Enumeration DateSeptember 10, 2018
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
NPI 1174006803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License Licensed in NY · 5901200R
57 BAY STREET, Staten Island, NY 10301

Other Names 1

Other NameBay Street Health Center

Other Identifiers 2

Medicaid00473038NY
OtherW38731NY · Group Medicare

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 33D2313909

Sun River Health - 57 Bay Street · Staten Island, NY
Active · expires Mar 26, 2027
CLIA Number33D2313909
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Amanda F. Ascher
Laboratory Phone(718) 947-3196
Laboratory LocationSun River Health - 57 Bay Street57 Bay St, Staten Island, NY 10301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
57 BAY STREET, 1ST & 3RD FLOOR
STATEN ISLAND, NY 10301

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 Sun River Health Inc's NPI number?

The NPI number for Sun River Health Inc is 1174006803. It was assigned to this organization in the NPPES registry on September 10, 2018. The provider is also known as Bay Street Health Center.

Where is Sun River Health Inc located?

Sun River Health Inc is located at 57 Bay Street Bay Street Health Center, Staten Island, NY 10301. The listed phone number is (855) 681-8700.

What is Sun River Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Sun River Health Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2313909) 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 Sun River Health Inc was last updated on March 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.