Staten Island Medical Professional PC
NPI 1659676963 · Internal Medicine Physician · Staten Island, NY
Staten Island Medical Professional PC is a Internal Medicine Physician organization in Staten Island, NY (NPI 1659676963).
Provider details
- NPI number
- 1659676963
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edwin Gordon, Owner(718) 356-0207
- License
- 097198 (NY)
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
15 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
- 2011-01-18
- Last updated
- 2011-01-18
Frequently asked questions
- What is Staten Island Medical Professional PC's NPI number?
- Staten Island Medical Professional PC's National Provider Identifier (NPI) is 1659676963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Staten Island Medical Professional PC?
- Staten Island Medical Professional PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Staten Island Medical Professional PC located?
- Staten Island Medical Professional PC's practice location on file with NPPES is 5405 Hylan Blvd, Staten Island, NY 10312-5241.
- What is Staten Island Medical Professional PC's phone number?
- The practice phone number listed in the NPPES registry for Staten Island Medical Professional PC is (718) 356-0207.
- Who is the authorized official for Staten Island Medical Professional PC?
- The authorized official listed on Staten Island Medical Professional PC's NPPES record is Edwin Gordon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Staten Island Medical Professional PC's NPI active?
- Yes — Staten Island Medical Professional PC's NPI (1659676963) is active in the NPPES registry as of the last update on 2011-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.