OrganizationActive
Staten Island Mall Dental, P.C.
NPI 1013139237 · Dentist · Staten Island, NY
Staten Island Mall Dental, P.C. is a Dentist organization in Staten Island, NY (NPI 1013139237).
Provider details
- NPI number
- 1013139237
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ross Krasnov, Dentist(718) 982-5500
- License
- 046-043 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2655 Richmond Avenue
2220
Staten Island, NY 10314
Phone: (718) 982-5500
Fax: (718) 982-5554
Street-level locationGet directions
Mailing address
2655 Richmond Avenue
Staten Island, NY 10314
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Staten Island Mall Dental, P.C.'s NPI number?
- Staten Island Mall Dental, P.C.'s National Provider Identifier (NPI) is 1013139237, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Staten Island Mall Dental, P.C.?
- Staten Island Mall Dental, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Staten Island Mall Dental, P.C. located?
- Staten Island Mall Dental, P.C.'s practice location on file with NPPES is 2655 Richmond Avenue, Staten Island, NY 10314.
- What is Staten Island Mall Dental, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Staten Island Mall Dental, P.C. is (718) 982-5500.
- Who is the authorized official for Staten Island Mall Dental, P.C.?
- The authorized official listed on Staten Island Mall Dental, P.C.'s NPPES record is Ross Krasnov, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Staten Island Mall Dental, P.C.'s NPI active?
- Yes — Staten Island Mall Dental, P.C.'s NPI (1013139237) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.