SOUTH BEACH PC
NPI 1295927036
Health Maintenance Organization in Staten Island, NY

Active since August 15, 2007CLIA 33D2029169 · Waiver
777 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 667-2300 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1295927036
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSOUTH BEACH PC
Location Address777 SEAVIEW AVEStaten Island, NY 10305-3409
Mailing Address44 Holland AveAlbany, NY 12229-0001
Organization SubpartNo
Authorized OfficialRobert PuccioDirector, Finance · (518) 473-0795
Enumeration DateAugust 15, 2007
Last NPPES UpdateAugust 28, 2014
NPI 1295927036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
777 SEAVIEW AVE, Staten Island, NY 10305

Other Identifiers 1

Medicaid02890953NY

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, NY
Active · expires Mar 26, 2027
CLIA Number33D2029169
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 2011
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Waqar A. Siddiqui
Laboratory Phone(718) 667-2820
Laboratory LocationSouth Beach Psychiatric Center777 Seaview Avenue, Staten Island, NY 10305
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 20

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

Registered Nurse
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Registered Nurse (Psychiatric/Mental Health)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Registered Nurse (Psychiatric/Mental Health)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Registered Nurse (Psychiatric/Mental Health)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Registered Nurse (Psychiatric/Mental Health)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Social Worker (Clinical)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Registered Nurse (Psychiatric/Mental Health)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Social Worker
777 SEAVIEW AVE
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.