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AGELESS MEN'S HEALTH
NPI 1235581430
Clinic/Center - Primary Care in Staten Island, NY

Active since July 12, 2016
78 TODT HILL RD STE 205, STATEN ISLAND, NY 10314(212) 837-1946(212) 837-1908 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2024, Nov 13, 2023, Jun 7, 2021 and 1 more (4 updates tracked since 2016).

About Ageless Men's Health NPPES

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

AGELESS MEN'S HEALTH (NPI 1235581430) is a healthcare organization registered as a primary care in Staten Island, New York and active in the NPI registry since July 2016. The organization lists Amanda Wilkinson, Business Operations Director, as its authorized official.

NPPES Registry Identity

NPI1235581430
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAGELESS MEN'S HEALTH HOLDINGS, PC CA
Location Address78 TODT HILL RD STE 205Staten Island, NY 10314-4528
Mailing Address1847 Victory Blvd, Lower LevelStaten Island, NY 10314-3550 · (212) 837-1946 · Fax (212) 837-1908
Phone(212) 837-1946
Fax(212) 837-1908
Organization SubpartNo
Authorized OfficialAmanda WilkinsonBusiness Operations Director · (702) 818-0446
Enumeration DateJuly 12, 2016
Last NPPES UpdateNovember 11, 20244 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1235581430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedSpecialistTaxonomy 174400000X
78 TODT HILL RD STE 205, Staten Island, NY 10314
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Other Names 1

Doing Business AsAgeless Men's Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

KENNETH CHRISTIE NURSE PRACTITIONER
Nurse Practitioner (Family)
78 TODT HILL RD STE 205
STATEN ISLAND, NY 10314
Richmond County (718) 691-5537
NICOLETTE CERBONE FNP
Nurse Practitioner (Adult Health)
78 TODT HILL RD STE 205
STATEN ISLAND, NY 10314
Richmond County (718) 447-0781

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 Ageless Men's Health Holdings, PC Ca's NPI number?

The NPI number for Ageless Men's Health Holdings, PC Ca is 1235581430. It was assigned to this organization in the NPPES registry on July 12, 2016. The provider is doing business as Ageless Men's Health.

Where is Ageless Men's Health Holdings, PC Ca located?

Ageless Men's Health Holdings, PC Ca is located at 78 Todt Hill Rd Ste 205, Staten Island, NY 10314. The listed phone number is (212) 837-1946.

What is Ageless Men's Health Holdings, PC Ca's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ageless Men's Health Holdings, PC Ca was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.