Sg Medical Professional PC
NPI 1457085615 · Family Medicine Physician · Staten Island, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sg Medical Professional PC is a Family Medicine Physician organization in Staten Island, NY (NPI 1457085615).
Provider details
- NPI number
- 1457085615
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dov Hollander, Director of Operations(631) 759-9920
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-07-13
- Last updated
- 2025-05-30
- Certified
- 2025-05-30
Frequently asked questions
- What is Sg Medical Professional PC's NPI number?
- Sg Medical Professional PC's National Provider Identifier (NPI) is 1457085615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sg Medical Professional PC?
- Sg Medical Professional PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sg Medical Professional PC located?
- Sg Medical Professional PC's practice location on file with NPPES is 260 Christopher Ln Ste 102a, Staten Island, NY 10314-1631.
- What is Sg Medical Professional PC's phone number?
- The practice phone number listed in the NPPES registry for Sg Medical Professional PC is (718) 362-1405.
- Does Sg Medical Professional PC accept Medicare?
- Sg Medical Professional PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sg Medical Professional PC?
- The authorized official listed on Sg Medical Professional PC's NPPES record is Dov Hollander, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sg Medical Professional PC's NPI active?
- Yes — Sg Medical Professional PC's NPI (1457085615) is active in the NPPES registry as of the last update on 2025-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.