MARINERS RESIDENCE INC.
NPI 1639806490
Custodial Care Facility - Adult Care Home in Staten Island, NY

Q: What is Mariners Residence Inc.'s NPI number?

The NPI number for Mariners Residence Inc. is 1639806490. It was assigned to this organization in the NPPES registry on August 2, 2022.

Q: What is Mariners Residence Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since August 02, 2022

2099 FOREST AVE, STATEN ISLAND, NY 10303(917) 544-4713 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2022, Aug 2, 2022 (2 updates tracked since 2022).

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About Mariners Residence Inc. NPPES

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

MARINERS RESIDENCE INC. (NPI 1639806490) is a healthcare organization registered as an adult care home in Staten Island, New York and active in the NPI registry since August 2022. The organization lists Avi Lustig, Owner, as its authorized official.

NPPES Registry Identity

NPI1639806490

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameMARINERS RESIDENCE INC.

Location Address2099 FOREST AVEStaten Island, NY 10303-2239

Mailing Address2099 Forest AveStaten Island, NY 10303-2239 · (917) 544-4713

Phone(917) 544-4713

Organization SubpartNo

Authorized OfficialAvi LustigOwner · (917) 544-4713

Enumeration DateAugust 2, 2022

Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration

NPPES CertifiedAugust 22, 2022

✔ NPI 1639806490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2099 FOREST AVE, Staten Island, NY 10303

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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 Mariners Residence Inc.'s NPI number?

The NPI number for Mariners Residence Inc. is 1639806490. It was assigned to this organization in the NPPES registry on August 2, 2022.

Where is Mariners Residence Inc. located?

Mariners Residence Inc. is located at 2099 Forest Ave, Staten Island, NY 10303. The listed phone number is (917) 544-4713.

What is Mariners Residence Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Mariners Residence Inc. was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.