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STATEN ISLAND LITHOTRIPSY LLC
NPI 1457539561
Clinic/Center - Ambulatory Surgical in Staten Island, NY

Active since January 31, 2008
1324 FOREST AVE, #228, STATEN ISLAND, NY 10302(520) 323-8732(520) 547-1865 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Staten Island Lithotripsy Llc NPPES

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

STATEN ISLAND LITHOTRIPSY LLC (NPI 1457539561) is a healthcare organization registered as an ambulatory surgical in Staten Island, New York and active in the NPI registry since January 2008. The organization lists Mary Ann Evanoski, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1457539561
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSTATEN ISLAND LITHOTRIPSY LLC
Location Address1324 FOREST AVE, #228Staten Island, NY 10302-2028
Mailing Address6339 E Speedway Blvd, Suite 201Tucson, AZ 85710-1147 · (520) 323-8732 · Fax (520) 547-1865
Phone(520) 323-8732
Fax(520) 547-1865
Organization SubpartNo
Authorized OfficialMary Ann EvanoskiBilling Manager · (520) 547-4130
Enumeration DateJanuary 31, 2008
Last NPPES UpdateOctober 1, 2008
✔ NPI 1457539561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1324 FOREST AVE, Staten Island, NY 10302
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Other Providers at the Same Location NPPES 3

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

MR. JASON CHARLES LMT, LMBT
Massage Therapist
1324 FOREST AVE, STE 125
STATEN ISLAND, NY 10302
Richmond County (646) 838-1729
MOUNTAINSIDE DIVERSIFIED
Massage Therapist
1324 FOREST AVE
STATEN ISLAND, NY 10302
Richmond County (877) 480-8038
DANIELLE PUGLIESE LMHC-LP
Counselor (Mental Health)
1324 FOREST AVE
STATEN ISLAND, NY 10302
Richmond County (718) 283-4267

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 Lithotripsy LLC's NPI number?

The NPI number for Staten Island Lithotripsy LLC is 1457539561. It was assigned to this organization in the NPPES registry on January 31, 2008.

Where is Staten Island Lithotripsy LLC located?

Staten Island Lithotripsy LLC is located at 1324 Forest Ave #228, Staten Island, NY 10302. The listed phone number is (520) 323-8732.

What is Staten Island Lithotripsy LLC'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 Lithotripsy LLC was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.