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STATEN ISLAND MEDICAL INTENSIVIST PC
NPI 1275564841
Internal Medicine - Pulmonary Disease in Staten Island, NY

Active since July 05, 2006
475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-1673(718) 226-8834 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Staten Island Medical Intensivist Pc NPPES

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

STATEN ISLAND MEDICAL INTENSIVIST PC (NPI 1275564841) is a healthcare organization registered as a pulmonary disease in Staten Island, New York and active in the NPI registry since July 2006. The organization lists Theodore Maniatis, Director, as its authorized official.

NPPES Registry Identity

NPI1275564841
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSTATEN ISLAND MEDICAL INTENSIVIST PC
Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436
Mailing Address1 Edgewater St, Suite 723Staten Island, NY 10305-4900 · (718) 226-1013 · Fax (718) 226-1039
Phone(718) 226-1673
Fax(718) 226-8834
Organization SubpartNo
Authorized OfficialTheodore ManiatisDirector · (718) 226-8836
Enumeration DateJuly 5, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1275564841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
475 SEAVIEW AVE, Staten Island, NY 10305
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Other Identifiers 1

Medicaid02394503NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MRS. DAWN MARIE COTTONE RPA-C
Physician Assistant (Surgical)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9508
SHAMYLA FARRUKH MD
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9158
MS. CHRISTINE ANN SPRUFERO CCC - SLP
Speech-Language Pathologist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6521
DR. SAMANTHA MARIA LEE MD
Internal Medicine (Cardiovascular Disease)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9510
DR. SHOROK E HASSAN D.O.
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
DAVID K CHEN MD
Anesthesiology
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
STEPHANIE M POWERS
Occupational Therapist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9466
KRISTEN COLANDREA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (347) 681-4146

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 Medical Intensivist PC's NPI number?

The NPI number for Staten Island Medical Intensivist PC is 1275564841. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Staten Island Medical Intensivist PC located?

Staten Island Medical Intensivist PC is located at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-1673.

What is Staten Island Medical Intensivist PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Staten Island Medical Intensivist PC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.