OrganizationActive
State of New York Comptrollers Office
NPI 1356286124 · Developmental Disabilities Clinic/Center · Staten Island, NY
Provider details
- NPI number
- 1356286124
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Earl Jefferson, Director of Central Operations(518) 402-4333
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
930 Willowbrook Rd Bldg 15l
Staten Island, NY 10314-4209
Phone: (718) 983-5369
Street-level locationGet directions
Mailing address
44 Holland Ave
Albany, NY 12208-3411
Other names (DBA / former)
- Doing business as
- Staten Island Developmental Disabilities Service Office Clinic
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.