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BRIGHTPOINT 56 BAY STREET OUTPATIENT TREATMENT
NPI 1184107963
Clinic/Center - Federally Qualified Health Center (FQHC) in Staten Island, NY

Active since September 08, 2018CLIA 33D2313868 · Waiver
56 BAY STREET, BRIGHTPOINT 56 BAY STREET OUTPATIENT TREATMENT, STATEN ISLAND, NY 10301(718) 808-1439(718) 808-1393 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brightpoint 56 Bay Street Outpatient Treatment NPPES

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

BRIGHTPOINT 56 BAY STREET OUTPATIENT TREATMENT (NPI 1184107963) 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 Lipton, Vp Info/practice Mgmt Systems, as its authorized official.

NPPES Registry Identity

NPI1184107963
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSUN RIVER HEALTH INC
Location Address56 BAY STREET, BRIGHTPOINT 56 BAY STREET OUTPATIENT TREATMENTStaten Island, NY 10301-2563
Mailing AddressPo Box 5036White Plains, NY 10602-5036 · (914) 734-8800 · Fax (914) 734-8786
Phone(718) 808-1439
Fax(718) 808-1393
Organization SubpartYes
Authorized OfficialAdam LiptonVp Info/practice Mgmt Systems · (914) 384-2375
Enumeration DateSeptember 8, 2018
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1184107963 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
56 BAY STREET, Staten Island, NY 10301
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Other Names 1

Other NameBrightpoint 56 Bay Street Outpatient Treatment

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 33D2313868

Sun River Health 56 Bay Street 6th Floor · Staten Island, NY
Active · expires Mar 26, 2027
CLIA Number33D2313868
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Amanda F. Ascher
Laboratory Phone(718) 808-1439
Laboratory LocationSun River Health 56 Bay Street 6th Floor56 Bay St - 6th Fl, Staten Island, NY 10301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1184107963. It was assigned to this organization in the NPPES registry on September 8, 2018. The provider is also known as Brightpoint 56 Bay Street Outpatient Treatment.

Where is Sun River Health Inc located?

Sun River Health Inc is located at 56 Bay Street Brightpoint 56 Bay Street Outpatient Treatment, Staten Island, NY 10301. The listed phone number is (718) 808-1439.

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 33D2313868) 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.