UNIVERSITY PHYSICIANS GROUP
NPI 1407247430
Nurse Practitioner - Family in Staten Island, NY
Active since February 12, 2015
About University Physicians Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNIVERSITY PHYSICIANS GROUP (NPI 1407247430) is a healthcare organization registered as a family in Staten Island, New York and active in the NPI registry since February 2015. The organization lists Theodore Strange, Owner, as its authorized official.
NPPES Registry Identity
NPI1407247430
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameUNIVERSITY PHYSICIANS GROUP
Location Address1 EDGEWATER ST STE 704Staten Island, NY 10305-4900
Mailing Address1 Edgewater St Ste 704Staten Island, NY 10305-4900 · (718) 226-1011
Phone(718) 226-1011
Organization SubpartNo
Authorized OfficialTheodore StrangeOwner · (718) 226-1012
Enumeration DateFebruary 12, 2015
✔ NPI 1407247430 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F339345
1 EDGEWATER ST STE 704, Staten Island, NY 10305
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 MULTIPLE SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407247430, enumerated as an "organization" on February 12, 2015.
The provider is located at 1 EDGEWATER ST STE 704 STATEN ISLAND, NY 10305 and the phone number is (718) 226-1011.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
