PHYSICIANS OF UNIVERSITY HOSPITAL, PC
NPI 1417901323
Internal Medicine - Geriatric Medicine in Staten Island, NY

Active since May 22, 2006
375 SEGUINE AVE, 2ND FL., STATEN ISLAND, NY 10309(718) 226-6789(718) 226-6224 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Physicians Of University Hospital, Pc NPPES

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

PHYSICIANS OF UNIVERSITY HOSPITAL, PC (NPI 1417901323) is a healthcare organization registered as a geriatric medicine in Staten Island, New York and active in the NPI registry since May 2006. The organization maintains 2 additional practice locations and lists Mark Jarrett, Director, as its authorized official.

NPPES Registry Identity

NPI1417901323
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePHYSICIANS OF UNIVERSITY HOSPITAL, PC
Location Address375 SEGUINE AVE, 2ND FL.Staten Island, NY 10309-3932
Mailing Address1 Edgewater St, 6th Fl. Payer Relations Dept.Staten Island, NY 10305-4900 · (718) 226-1008
Fax(718) 226-6224
Organization SubpartNo
Authorized OfficialMark JarrettDirector · (516) 465-3214
Enumeration DateMay 22, 2006
Last NPPES UpdateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1417901323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedNurse PractitionerTaxonomy 363L00000X
375 SEGUINE AVE, Staten Island, NY 10309

Secondary Practice Locations 2

Location 1584 Forest AveStaten Island, NY 10310-2512 · Phone (718) 273-0553
Location 21776 Richmond RdStaten Island, NY 10306-2578 · Phone (718) 668-6963

Other Identifiers 1

Medicaid02808139NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physicians Of University Hospital, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

530

Medicare enrollment records show 530 clinicians reassign Medicare billing to Physicians Of University Hospital, PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 283 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 39

Anesthesiology86
Emergency Medicine52
Internal Medicine48
Certified Registered Nurse Anesthetist (CRNA)46
Pediatric Medicine44
Diagnostic Radiology33
Hospitalist31
Nurse Practitioner24
31 other specialties166

Nearest to this location (20)

See all 530
Critical Care (Intensivists)
NPI 1316094428
375 SEGUINE AVE
Staten Island, NY 10309
(718) 226-9488
✔ PECOSSame address
Psychiatry
NPI 1942284690
375 SEGUINE AVE
Staten Island, NY 10309
(718) 226-2400
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1356310155
375 SEGUINE AVE STATEN ISLAND UNIVERSITY HOSPITAL, SOUTH SITE
Staten Island, NY 10309
(718) 226-2000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1558330142
375 SEGUINE AVE
Staten Island, NY 10309
(718) 226-6902
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1235317181
375 SEGUINE AVE
Staten Island, NY 10309
(718) 226-6387
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1093045411
375 SEGUINE AVE
Staten Island, NY 10309
(718) 226-6387
✔ PECOSSame address
Psychiatry
NPI 1215357173
392 SEGUINE AVE
Staten Island, NY 10309
(718) 226-2752
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1477526531
68 SEGUINE AVE
Staten Island, NY 10309
(718) 356-6500
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1710972021
68 SEGUINE AVE
Staten Island, NY 10309
(718) 356-6500
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1407939705
5430 AMBOY RD
Staten Island, NY 10312
(718) 317-7556
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1467804906
688 EDGEGROVE AVE
Staten Island, NY 10312
(917) 703-5219
✔ PECOS✔ Accepts Medicare1.4 mi
Internal Medicine
NPI 1407116551
4771 HYLAN BLVD
Staten Island, NY 10312
(718) 948-8200
✔ PECOS✔ Accepts Medicare1.8 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043631013
411 HOLDRIDGE AVE
Staten Island, NY 10312
(646) 358-2549
✔ PECOS✔ Accepts Medicare1.9 mi
Family Practice
NPI 1003342718
101 TYRELLAN AVE
Staten Island, NY 10309
(929) 292-3600
✔ PECOS✔ Accepts Medicare1.9 mi
Geriatric Medicine
NPI 1376580662
420 LYNDALE AVE
Staten Island, NY 10312
(718) 967-5630
✔ PECOS✔ Accepts Medicare2.5 mi
Ophthalmology
NPI 1871576025
4299 HYLAN BLVD
Staten Island, NY 10312
(718) 984-7616
✔ PECOS✔ Accepts Medicare2.7 mi
Endocrinology
NPI 1275527798
4434 AMBOY RD
Staten Island, NY 10312
(718) 984-9848
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1558774489
98 PRESENTATION CIR
Staten Island, NY 10312
(718) 966-2531
✔ PECOS✔ Accepts Medicare2.8 mi
Gastroenterology
NPI 1003011982
4106 HYLAN BLVD
Staten Island, NY 10308
(718) 226-7855
✔ PECOS✔ Accepts Medicare3.0 mi
Psychiatry
NPI 1447692512
145 WELLINGTON CT APT 1I
Staten Island, NY 10314
(301) 651-2379
✔ PECOS✔ Accepts Medicare4.8 mi
See all 530 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Physicians Of University Hospital, PC's NPI number?

The NPI number for Physicians Of University Hospital, PC is 1417901323. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Physicians Of University Hospital, PC located?

Physicians Of University Hospital, PC is located at 375 Seguine Ave 2nd Fl., Staten Island, NY 10309. The listed phone number is (718) 226-6789.

What is Physicians Of University Hospital, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Physicians Of University Hospital, PC enrolled in Medicare?

Yes. Physicians Of University Hospital, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physicians Of University Hospital, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 530 clinicians in 39 Medicare specialties reassign their Medicare billing to Physicians Of University Hospital, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Anesthesiology (86), Emergency Medicine (52) and Internal Medicine (48). Of these, 7 practice at this address and 283 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Physicians Of University Hospital, PC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.