1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Specialist
  6. NPI Profile

S. ADIMOOLAM, PHYSICIAN, PC
NPI 1861561441
Specialist in Staten Island, NY

Active since November 07, 2006
1756 RICHMOND AVE, STATEN ISLAND, NY 10314(718) 494-3383(718) 494-1705 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About S. Adimoolam, Physician, Pc NPPES

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

S. ADIMOOLAM, PHYSICIAN, PC (NPI 1861561441) is a healthcare organization registered as a specialist in Staten Island, New York and active in the NPI registry since November 2006. The organization lists Debra Prucha, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1861561441
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameS. ADIMOOLAM, PHYSICIAN, PC
Location Address1756 RICHMOND AVEStaten Island, NY 10314-3902
Mailing Address1756 Richmond AveStaten Island, NY 10314-3902 · (718) 494-3383 · Fax (718) 494-1705
Phone(718) 494-3383
Fax(718) 494-1705
Organization SubpartNo
Authorized OfficialDebra PruchaOffice Manager · (718) 494-4934
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 18, 2008
✔ NPI 1861561441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · NYS121313
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1756 RICHMOND AVE, Staten Island, NY 10314
Open in Google Maps ↗

Other Identifiers 7

Medicaid00440597NY
Medicare ID-Type Unspecified25A411NY
OtherOC1723NY · Phc
Other0019584NY · Group Health Insurance
Medicare ID-Type Unspecified25A413NY
OtherOS053NY · Oxford Health Plans
Medicare UPINB11536NY

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 5

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

HAND TO HAND PHYSICAL THERAPY P.C.
Physical Therapist
1756 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 370-3581
NATARAJAN ELANGOVAN M.D.
Psychiatry & Neurology (Psychiatry)
1756 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 477-5670
SEETHARAMAN ADIMOOLAM M.D., P.C.
Specialist
1756 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 494-3383
DR. MOHAMED YOUSEF ABOSHAMA P.T., D.P.T.
Physical Therapist
1756 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 370-3581
ELANGOVAN PSYCHIATRIC SERVICES PLLC
Psychiatry & Neurology (Psychiatry)
1756 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 477-5670

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 S. Adimoolam, Physician, PC's NPI number?

The NPI number for S. Adimoolam, Physician, PC is 1861561441. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is S. Adimoolam, Physician, PC located?

S. Adimoolam, Physician, PC is located at 1756 Richmond Ave, Staten Island, NY 10314. The listed phone number is (718) 494-3383.

What is S. Adimoolam, Physician, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for S. Adimoolam, Physician, PC was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.