OrganizationActive
Aesthetic Pavilion Ambulatory Surgery Center LLC
NPI 1619172970 · Ambulatory Surgical Clinic/Center · Staten Island, NY
Provider details
- NPI number
- 1619172970
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Decorato, President(718) 987-9165
Specialties & taxonomies
Ambulatory Health Care Facilities
- Research Clinic/Center261QR1100X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2777 Hylan Blvd
Staten Island, NY 10306-4660
Phone: (718) 987-9165
Fax: (718) 987-0305
Street-level locationGet directions
Mailing address
2777 Hylan Blvd
Staten Island, NY 10306-4660
Registry dates
- Enumerated
- 2007-06-18
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.