Mariners Residence Inc.
NPI 1639806490 · Adult Care Home Facility · Staten Island, NY
Mariners Residence Inc. is a Adult Care Home Facility organization in Staten Island, NY (NPI 1639806490).
Provider details
- NPI number
- 1639806490
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Avi Lustig, Owner(917) 544-4713
Specialties & taxonomies
Nursing & Custodial Care Facilities
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
- 2022-08-02
- Last updated
- 2022-08-22
- Certified
- 2022-08-22
Frequently asked questions
- What is Mariners Residence Inc.'s NPI number?
- Mariners Residence Inc.'s National Provider Identifier (NPI) is 1639806490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mariners Residence Inc.?
- Mariners Residence Inc. is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Mariners Residence Inc. located?
- Mariners Residence Inc.'s practice location on file with NPPES is 2099 Forest Ave, Staten Island, NY 10303-2239.
- What is Mariners Residence Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mariners Residence Inc. is (917) 544-4713.
- Who is the authorized official for Mariners Residence Inc.?
- The authorized official listed on Mariners Residence Inc.'s NPPES record is Avi Lustig, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mariners Residence Inc.'s NPI active?
- Yes — Mariners Residence Inc.'s NPI (1639806490) is active in the NPPES registry as of the last update on 2022-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.