Staten Island University Hospital
NPI 1700480050 · Methadone Clinic · Staten Island, NY
Enrolled with Medicare as Part a Provider - Other · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Staten Island University Hospital is a Methadone Clinic organization in Staten Island, NY (NPI 1700480050).
Provider details
- NPI number
- 1700480050
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michele Cusack, Senior Vice President & Cfo(516) 321-6058
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
- Opioid Treatment Program
Additional practice locations (4)
- 567 E 105th StBrooklyn, NY 11236-2213Phone: (718) 226-4930Fax: (718) 307-3020
- 475 Seaview AveStaten Island, NY 10305-3436Phone: (718) 226-5797
- 111 Water StStaten Island, NY 10304-2709Phone: (718) 226-4990Fax: (718) 447-6271
- 375 Seguine AveStaten Island, NY 10309-3932Phone: (718) 226-3815Fax: (718) 226-2920
Registry dates
- Enumerated
- 2020-11-27
- Last updated
- 2021-02-05
- Certified
- 2021-02-05
Frequently asked questions
- What is Staten Island University Hospital's NPI number?
- Staten Island University Hospital's National Provider Identifier (NPI) is 1700480050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Staten Island University Hospital?
- Staten Island University Hospital is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Staten Island University Hospital located?
- Staten Island University Hospital's practice location on file with NPPES is 392 Seguine Ave, Staten Island, NY 10309-3906.
- What is Staten Island University Hospital's phone number?
- The practice phone number listed in the NPPES registry for Staten Island University Hospital is (718) 226-3815.
- Does Staten Island University Hospital accept Medicare?
- Staten Island University Hospital 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 Staten Island University Hospital?
- The authorized official listed on Staten Island University Hospital's NPPES record is Michele Cusack, Senior Vice President & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Staten Island University Hospital's NPI active?
- Yes — Staten Island University Hospital's NPI (1700480050) is active in the NPPES registry as of the last update on 2021-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.