SOUTH BEACH PC
NPI 1295927036
Health Maintenance Organization in Staten Island, NY
About South Beach Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH BEACH PC (NPI 1295927036) is a healthcare organization registered as a health maintenance organization in Staten Island, New York and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Robert Puccio, Director, Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 33D2029169
South Beach Psychiatric Center · Staten Island, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
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 South Beach PC's NPI number?
The NPI number for South Beach PC is 1295927036. It was assigned to this organization in the NPPES registry on August 15, 2007.
Where is South Beach PC located?
South Beach PC is located at 777 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 667-2300.
What is South Beach PC's specialty?
The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.
Does South Beach PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2029169) 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 South Beach PC was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.