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VICTORY MEDICAL GROUP PLLC
NPI 1912223280
Family Medicine in Staten Island, NY

Active since April 12, 2010
220 VICTORY BLVD, STATEN ISLAND, NY 10301(718) 447-1080(718) 447-1559 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Victory Medical Group Pllc NPPES

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

VICTORY MEDICAL GROUP PLLC (NPI 1912223280) is a healthcare organization registered as a family medicine in Staten Island, New York and active in the NPI registry since April 2010. The organization lists Omar Klobocista, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1912223280
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVICTORY MEDICAL GROUP PLLC
Location Address220 VICTORY BLVDStaten Island, NY 10301-2919
Mailing Address220 Victory BlvdStaten Island, NY 10301-2919 · (718) 447-1080 · Fax (718) 447-1559
Phone(718) 447-1080
Fax(718) 447-1559
Organization SubpartNo
Authorized OfficialOmar KlobocistaMedical Doctor · (347) 698-0710
Enumeration DateApril 12, 2010
Last NPPES UpdateJanuary 12, 2022
NPPES CertifiedOctober 8, 2020
✔ NPI 1912223280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 255828
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
220 VICTORY BLVD, Staten Island, NY 10301
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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 3

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

DR. OMAR KLOBOCISTA M.D.
Family Medicine
220 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (856) 524-2531
JAVONNE FAISON
Social Worker
220 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (917) 676-3708
MENSUR E KLOBOCISTA PA
Surgery
220 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (718) 447-1559

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 Victory Medical Group PLLC's NPI number?

The NPI number for Victory Medical Group PLLC is 1912223280. It was assigned to this organization in the NPPES registry on April 12, 2010.

Where is Victory Medical Group PLLC located?

Victory Medical Group PLLC is located at 220 Victory Blvd, Staten Island, NY 10301. The listed phone number is (718) 447-1080.

What is Victory Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Victory Medical Group PLLC was last updated on January 12, 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.