Staten Island Physician Practice PC
NPI 1568413169 · Internal Medicine Physician · New York, NY
Staten Island Physician Practice PC is a Internal Medicine Physician organization in New York, NY (NPI 1568413169).
Provider details
- NPI number
- 1568413169
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marlena Simpson, Avp - Credentialing(646) 680-2894
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Hematology & Oncology Physician207RH0003X
Allopathic & Osteopathic Physicians
- Ophthalmology Physician207W00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Other names (DBA / former)
- Doing business as
- Advantagecare Physicians
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2015-12-01
Frequently asked questions
- What is Staten Island Physician Practice PC's NPI number?
- Staten Island Physician Practice PC's National Provider Identifier (NPI) is 1568413169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Staten Island Physician Practice PC?
- Staten Island Physician Practice PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Staten Island Physician Practice PC located?
- Staten Island Physician Practice PC's practice location on file with NPPES is 441 9th Ave, New York, NY 10001-1623.
- What is Staten Island Physician Practice PC's phone number?
- The practice phone number listed in the NPPES registry for Staten Island Physician Practice PC is (646) 680-2894.
- Who is the authorized official for Staten Island Physician Practice PC?
- The authorized official listed on Staten Island Physician Practice PC's NPPES record is Marlena Simpson, Avp - Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Staten Island Physician Practice PC's NPI active?
- Yes — Staten Island Physician Practice PC's NPI (1568413169) is active in the NPPES registry as of the last update on 2015-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.