IBR GEORGE A JERVIS CLINIC
NPI 1750469912
Clinic/Center - Developmental Disabilities in Staten Island, NY
About Ibr George A Jervis Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IBR GEORGE A JERVIS CLINIC (NPI 1750469912) is a healthcare organization registered as a developmental disabilities in Staten Island, New York and active in the NPI registry since November 2006. The organization lists Earl Jefferson, Director Of Central Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ibr George A Jervis Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
340Medicare enrollment records show 340 clinicians reassign Medicare billing to Ibr George A Jervis Clinic, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 340Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 State Of New York Comptrollers Office's NPI number?
The NPI number for State Of New York Comptrollers Office is 1750469912. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is also known as Ibr George A Jervis Clinic.
Where is State Of New York Comptrollers Office located?
State Of New York Comptrollers Office is located at 1050 Forest Hill Rd, Staten Island, NY 10314. The listed phone number is (718) 494-5151.
What is State Of New York Comptrollers Office's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.
Is State Of New York Comptrollers Office enrolled in Medicare?
Yes. State Of New York Comptrollers Office is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State Of New York Comptrollers Office?
According to the CMS Revalidation Reassignment List (October 2026 release), 340 clinicians in 18 Medicare specialties reassign their Medicare billing to State Of New York Comptrollers Office. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (63), Occupational Therapist in Private Practice (61) and Qualified Speech Language Pathologist (55). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for State Of New York Comptrollers Office was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ibr George A Jervis Clinic · NPI 1750469912
Developmental Disabilities organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since November 2, 2006.
## Identity
- **NPI:** 1750469912 (Entity type: Organization)
- **Enumerated:** November 2, 2006
- **Primary specialty:** Clinic/Center - Developmental Disabilities · taxonomy 261QD1600X
- **Legal business name:** State Of New York Comptrollers Office
- **Organization subpart:** Yes (part of State Of New York Comptrollers Office)
- **Authorized official:** Earl Jefferson, DIRECTOR OF CENTRAL OPERATIONS
## Practice location
- **Address:** 1050 FOREST HILL RD, Staten Island, NY 10314-6356
- **Phone:** (718) 494-5151 · **Fax:** (718) 494-2258
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 340 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (63), Occupational Therapist in Private Practice (61), Qualified Speech Language Pathologist (55); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1750469912/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2015
- **Other identifiers:** Medicaid 00869952 (NY); Other 224141 (NY); Medicare PIN A100018662 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1750469912) · Data from the CMS NPPES public registry.