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UNIVERSITY PHYSICIANS GROUP
NPI 1407247430
Nurse Practitioner - Family in Staten Island, NY

Active since February 12, 2015
1 EDGEWATER ST STE 704, STATEN ISLAND, NY 10305(718) 226-1011 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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
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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Physicians Group's NPI number?

The NPI number for University Physicians Group is 1407247430. It was assigned to this organization in the NPPES registry on February 12, 2015.

Where is University Physicians Group located?

University Physicians Group is located at 1 Edgewater St Ste 704, Staten Island, NY 10305. The listed phone number is (718) 226-1011.

What is University Physicians Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for University Physicians Group was last updated on February 12, 2015. 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.