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STATEN ISLAND MEDICAL PROFESSIONAL PC
NPI 1659676963
Internal Medicine in Staten Island, NY

Active since January 18, 2011
5405 HYLAN BLVD, STATEN ISLAND, NY 10312(718) 356-0207 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Staten Island Medical Professional Pc NPPES

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

STATEN ISLAND MEDICAL PROFESSIONAL PC (NPI 1659676963) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since January 2011. The organization lists Edwin Barry Gordon, Owner, as its authorized official.

NPPES Registry Identity

NPI1659676963
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTATEN ISLAND MEDICAL PROFESSIONAL PC
Location Address5405 HYLAN BLVDStaten Island, NY 10312-5241
Mailing Address5405 Hylan BlvdStaten Island, NY 10312-5241 · (718) 356-0207
Phone(718) 356-0207
Organization SubpartNo
Authorized OfficialEdwin Barry GordonOwner · (718) 356-0207
Enumeration DateJanuary 18, 2011
✔ NPI 1659676963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 097198
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5405 HYLAN BLVD, Staten Island, NY 10312
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

DR. GUSTAVE STEPHEN DRIVAS M.D.,
Internal Medicine
5405 HYLAN BLVD
STATEN ISLAND, NY 10312
Richmond County (718) 948-3890
REKINECT LLC
Physical Therapist
5405 HYLAN BLVD
STATEN ISLAND, NY 10312
Richmond County (917) 397-9700
STATEN ISLAND MEDICAL PRACTICE, P.C.
Clinic/Center (Primary Care)
5405 HYLAN BLVD
STATEN ISLAND, NY 10312
Richmond County (718) 948-5475
DR. MARK SAMAAN PT, DPT
Physical Therapist
5405 HYLAN BLVD
STATEN ISLAND, NY 10312
Richmond County (917) 397-9700
ROSY ROBEEL AZER
Physician Assistant
5405 HYLAN BLVD
STATEN ISLAND, NY 10312
Richmond County (917) 397-9700
BEACH NY PHYSICAL THERAPY OF STATEN ISLAND PLLC
Physical Medicine & Rehabilitation
5405 HYLAN BLVD
STATEN ISLAND, NY 10312
Richmond County (718) 634-3211
HUGUENOT MEDICAL SERVICES P.C.
Internal Medicine
5405 HYLAN BLVD, STUITE 1
STATEN ISLAND, NY 10312
Richmond County (718) 948-5475
MR. LEONARD JOSEPH MARCHETTA R-P.A.
Physician Assistant
5405 HYLAN BLVD
STATEN ISLAND, NY 10312
Richmond County (718) 948-5475

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 Medical Professional PC's NPI number?

The NPI number for Staten Island Medical Professional PC is 1659676963. It was assigned to this organization in the NPPES registry on January 18, 2011.

Where is Staten Island Medical Professional PC located?

Staten Island Medical Professional PC is located at 5405 Hylan Blvd, Staten Island, NY 10312. The listed phone number is (718) 356-0207.

What is Staten Island Medical Professional PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Staten Island Medical Professional PC was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.