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AESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC
NPI 1619172970
Clinic/Center - Ambulatory Surgical in Staten Island, NY

Active since June 18, 2007
2777 HYLAN BLVD, STATEN ISLAND, NY 10306(718) 987-9165(718) 987-0305 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Aesthetic Pavilion Ambulatory Surgery Center Llc NPPES

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

AESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC (NPI 1619172970) is a healthcare organization registered as an ambulatory surgical in Staten Island, New York and active in the NPI registry since June 2007. The organization lists John William Decorato, President, as its authorized official.

NPPES Registry Identity

NPI1619172970
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAESTHETIC PAVILION AMBULATORY SURGERY CENTER LLC
Location Address2777 HYLAN BLVDStaten Island, NY 10306-4660
Mailing Address2777 Hylan BlvdStaten Island, NY 10306-4660 · (718) 987-9165 · Fax (718) 987-0305
Phone(718) 987-9165
Fax(718) 987-0305
Organization SubpartNo
Authorized OfficialJohn William DecoratoPresident · (718) 987-9165
Enumeration DateJune 18, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1619172970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · ResearchTaxonomy 261QR1100X
2777 HYLAN BLVD, Staten Island, NY 10306
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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.

RADIOLOGY SERVICES OF NEW YORK PC
Radiology (Diagnostic Radiology)
2777 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (718) 979-0100
DR. SASAN YASHARPOUR MD
Radiology (Diagnostic Radiology)
2777 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (718) 979-0100
JOHN W. DECORATO, M.D., P.C.
Specialist
2777 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (718) 987-0300
DR. JOHN WILLIAM DECORATO M.D.
Specialist
2777 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (718) 987-0300
DR. MARLENA E JBARA MD
Radiology (Diagnostic Radiology)
2777 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (718) 979-0100

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 Aesthetic Pavilion Ambulatory Surgery Center LLC's NPI number?

The NPI number for Aesthetic Pavilion Ambulatory Surgery Center LLC is 1619172970. It was assigned to this organization in the NPPES registry on June 18, 2007.

Where is Aesthetic Pavilion Ambulatory Surgery Center LLC located?

Aesthetic Pavilion Ambulatory Surgery Center LLC is located at 2777 Hylan Blvd, Staten Island, NY 10306. The listed phone number is (718) 987-9165.

What is Aesthetic Pavilion Ambulatory Surgery Center 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 Aesthetic Pavilion Ambulatory Surgery Center LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.