OrganizationActive
Immune Therapy Products, LLC
NPI 1164568002 · Clinical Medical Laboratory · Staten Island, NY
Immune Therapy Products, LLC is a Clinical Medical Laboratory organization in Staten Island, NY (NPI 1164568002).
Provider details
- NPI number
- 1164568002
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Roberta Hayes, Laboratory Director(718) 556-5001
- License
- PENDING (NY)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 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
25 Morningstar Rd
Staten Island, NY 10303-2808
Phone: (718) 556-5001
Street-level locationGet directions
Mailing address
81 Harbor View Pl
Staten Island, NY 10305-3909
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2020-08-22
Frequently asked questions
- What is Immune Therapy Products, LLC's NPI number?
- Immune Therapy Products, LLC's National Provider Identifier (NPI) is 1164568002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Immune Therapy Products, LLC?
- Immune Therapy Products, LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Immune Therapy Products, LLC located?
- Immune Therapy Products, LLC's practice location on file with NPPES is 25 Morningstar Rd, Staten Island, NY 10303-2808.
- What is Immune Therapy Products, LLC's phone number?
- The practice phone number listed in the NPPES registry for Immune Therapy Products, LLC is (718) 556-5001.
- Who is the authorized official for Immune Therapy Products, LLC?
- The authorized official listed on Immune Therapy Products, LLC's NPPES record is Roberta Hayes, Laboratory Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Immune Therapy Products, LLC's NPI active?
- Yes — Immune Therapy Products, LLC's NPI (1164568002) 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.