Clove Lakes Ent PC
NPI 1619039815 · Otolaryngology Physician · Staten Island, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clove Lakes Ent PC is a Otolaryngology Physician organization in Staten Island, NY (NPI 1619039815).
Provider details
- NPI number
- 1619039815
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Helen Kim, Owner(917) 596-7063
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
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
Mailing address
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2021-02-25
- Certified
- 2021-02-25
Frequently asked questions
- What is Clove Lakes Ent PC's NPI number?
- Clove Lakes Ent PC's National Provider Identifier (NPI) is 1619039815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clove Lakes Ent PC?
- Clove Lakes Ent PC is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Clove Lakes Ent PC located?
- Clove Lakes Ent PC's practice location on file with NPPES is 1414 Victory Blvd, Staten Island, NY 10301.
- What is Clove Lakes Ent PC's phone number?
- The practice phone number listed in the NPPES registry for Clove Lakes Ent PC is (718) 447-1261.
- Does Clove Lakes Ent PC accept Medicare?
- Clove Lakes Ent 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 Clove Lakes Ent PC?
- The authorized official listed on Clove Lakes Ent PC's NPPES record is Helen Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clove Lakes Ent PC's NPI active?
- Yes — Clove Lakes Ent PC's NPI (1619039815) is active in the NPPES registry as of the last update on 2021-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.