CLOVE LAKES ENT PC
NPI 1619039815
Otolaryngology in Staten Island, NY

Q: What is Clove Lakes Ent PC's NPI number?

The NPI number for Clove Lakes Ent PC is 1619039815. It was assigned to this organization in the NPPES registry on December 14, 2006.

Q: What is Clove Lakes Ent PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since December 14, 2006

1414 VICTORY BLVD, STATEN ISLAND, NY 10301(718) 447-1261(718) 981-1856 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2021, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About Clove Lakes Ent Pc NPPES

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

CLOVE LAKES ENT PC (NPI 1619039815) is a healthcare organization registered as an otolaryngology in Staten Island, New York and active in the NPI registry since December 2006. The organization lists Helen Hyosun Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1619039815

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameCLOVE LAKES ENT PC

Location Address1414 VICTORY BLVDStaten Island, NY 10301

Mailing Address1414 Victory BlvdStaten Island, NY 10301 · (718) 447-1261 · Fax (718) 981-1856

Phone(718) 447-1261

Fax(718) 981-1856

Organization SubpartNo

Authorized OfficialHelen Hyosun KimOwner · (917) 596-7063

Enumeration DateDecember 14, 2006

Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2021

✔ NPI 1619039815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1414 VICTORY BLVD, Staten Island, NY 10301

Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 5

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

SANTA UPENIECE PA

Physician Assistant