OrganizationActive
Sg Medical Professionals Nj PC
NPI 1558097899 · Family Medicine Physician · Staten Island, NY
Provider details
- NPI number
- 1558097899
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Krystal Mckenna, Director of Operations(718) 362-1406
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
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
260 Christopher Ln Ste 102a
Staten Island, NY 10314-1631
Phone: (718) 362-1406
Fax: (718) 362-1651
Street-level locationGet directions
Mailing address
228 E Route 59 # 400
Nanuet, NY 10954-2905
Registry dates
- Enumerated
- 2022-07-28
- Last updated
- 2022-07-28
- Certified
- 2022-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.