STATEN ISLAND MEDICAL GROUP, PLLC
NPI 1326302803
Clinic/Center - Ambulatory Surgical in Staten Island, NY

Active since June 28, 2012
2071 CLOVE RD, STATEN ISLAND, NY 10304(718) 391-0303 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Staten Island Medical Group, Pllc NPPES

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

STATEN ISLAND MEDICAL GROUP, PLLC (NPI 1326302803) is a healthcare organization registered as an ambulatory surgical in Staten Island, New York and active in the NPI registry since June 2012. The organization lists Rosemarie Phillip, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1326302803
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSTATEN ISLAND MEDICAL GROUP, PLLC
Location Address2071 CLOVE RDStaten Island, NY 10304-1612
Mailing AddressPo Box 581Saddle River, NJ 07458-0581 · (201) 857-4011
Organization SubpartNo
Authorized OfficialRosemarie PhillipMedical Director · (201) 857-4011
Enumeration DateJune 28, 2012
NPI 1326302803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in NY · 4431
2071 CLOVE RD, Staten Island, NY 10304

Other Identifiers 1

Other4431NY · Aaaasf

Other Providers at the Same Location NPPES 9

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

Specialist
2071 CLOVE RD
STATEN ISLAND, NY 10304
Internal Medicine (Sleep Medicine)
2071 CLOVE RD
STATEN ISLAND, NY 10304
Specialist
2071 CLOVE RD, SUITE J
STATEN ISLAND, NY 10304
Radiology (Diagnostic Ultrasound)
2071 CLOVE RD
STATEN ISLAND, NY 10304
Radiology (Diagnostic Radiology)
2071 CLOVE RD
STATEN ISLAND, NY 10304
Orthopaedic Surgery
2071 CLOVE RD
STATEN ISLAND, NY 10304
Physician Assistant (Medical)
2071 CLOVE RD, GRASMERE MEDICAL PAVILLION
STATEN ISLAND, NY 10304
Specialist
2071 CLOVE RD
STATEN ISLAND, NY 10304

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 Group, PLLC's NPI number?

The NPI number for Staten Island Medical Group, PLLC is 1326302803. It was assigned to this organization in the NPPES registry on June 28, 2012.

Where is Staten Island Medical Group, PLLC located?

Staten Island Medical Group, PLLC is located at 2071 Clove Rd, Staten Island, NY 10304. The listed phone number is (718) 391-0303.

What is Staten Island Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Staten Island Medical Group, PLLC was last updated on June 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.