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FOOTPRINTS PEDIATRIC MEDICINE, PC
NPI 1881486298
Pediatrics in Staten Island, NY

Active since May 21, 2025CLIA 33D2324774 · Waiver
1023 FOREST HILL RD, STATEN ISLAND, NY 10314(718) 534-0505 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Footprints Pediatric Medicine, Pc NPPES

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

FOOTPRINTS PEDIATRIC MEDICINE, PC (NPI 1881486298) is a healthcare organization registered as a pediatrics in Staten Island, New York and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Elizabeth A Darcy, Owner, as its authorized official.

NPPES Registry Identity

NPI1881486298
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFOOTPRINTS PEDIATRIC MEDICINE, PC
Location Address1023 FOREST HILL RDStaten Island, NY 10314-6323
Mailing Address1023 Forest Hill RdStaten Island, NY 10314-6323 · (718) 534-0505
Phone(718) 534-0505
Organization SubpartNo
Authorized OfficialElizabeth A DarcyOwner · (718) 534-0505
Enumeration DateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1881486298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1023 FOREST HILL RD, Staten Island, NY 10314
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2324774

Footprints Pediatric Medicine PC · Staten Island, NY
Active · expires Jun 1, 2027
CLIA Number33D2324774
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorElizabeth A. Darcy
Laboratory Phone(718) 534-0505
Laboratory LocationFootprints Pediatric Medicine PC1023 Forest Hill Rd, Staten Island, NY 10314
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. ELIZABETH ANN DARCY MD
Pediatrics
1023 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 534-0505
DR. MARY JEAN SPINELLI MD
Obstetrics & Gynecology
1023 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 981-0300
DR. FRANK V CARPINIELLO MD
Internal Medicine
1023 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 720-2220

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 Footprints Pediatric Medicine, PC's NPI number?

The NPI number for Footprints Pediatric Medicine, PC is 1881486298. It was assigned to this organization in the NPPES registry on May 21, 2025.

Where is Footprints Pediatric Medicine, PC located?

Footprints Pediatric Medicine, PC is located at 1023 Forest Hill Rd, Staten Island, NY 10314. The listed phone number is (718) 534-0505.

What is Footprints Pediatric Medicine, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Footprints Pediatric Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2324774) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Footprints Pediatric Medicine, PC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.