Staten Island Medical Practice, P.C.
NPI 1104142082 · Primary Care Clinic/Center · Staten Island, NY
Staten Island Medical Practice, P.C. is a Primary Care Clinic/Center organization in Staten Island, NY (NPI 1104142082).
Provider details
- NPI number
- 1104142082
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leonard Marchetta, Physicians' Assistant(718) 948-5475
- License
- 191751 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2010-04-16
- Last updated
- 2010-04-16
Frequently asked questions
- What is Staten Island Medical Practice, P.C.'s NPI number?
- Staten Island Medical Practice, P.C.'s National Provider Identifier (NPI) is 1104142082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Staten Island Medical Practice, P.C.?
- Staten Island Medical Practice, P.C. is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Staten Island Medical Practice, P.C. located?
- Staten Island Medical Practice, P.C.'s practice location on file with NPPES is 5405 Hylan Blvd, Staten Island, NY 10312-5241.
- What is Staten Island Medical Practice, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Staten Island Medical Practice, P.C. is (718) 948-5475.
- Who is the authorized official for Staten Island Medical Practice, P.C.?
- The authorized official listed on Staten Island Medical Practice, P.C.'s NPPES record is Leonard Marchetta, Physicians' Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Staten Island Medical Practice, P.C.'s NPI active?
- Yes — Staten Island Medical Practice, P.C.'s NPI (1104142082) is active in the NPPES registry as of the last update on 2010-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.