State of New York Comptrollers Office
NPI 1750469912 · Developmental Disabilities Clinic/Center · Staten Island, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
State of New York Comptrollers Office is a Developmental Disabilities Clinic/Center organization in Staten Island, NY (NPI 1750469912).
Provider details
- NPI number
- 1750469912
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- State of New York Comptrollers Office
- Organization subpart
- Yes
- Authorized official
- Earl Jefferson, Director of Central Operations(518) 402-4333
- License
- 224141 (NY)
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
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
Other names (DBA / former)
- Other name
- Ibr George a Jervis Clinic
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2015-12-28
Frequently asked questions
- What is State of New York Comptrollers Office's NPI number?
- State of New York Comptrollers Office's National Provider Identifier (NPI) is 1750469912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of New York Comptrollers Office?
- State of New York Comptrollers Office is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is State of New York Comptrollers Office located?
- State of New York Comptrollers Office's practice location on file with NPPES is 1050 Forest Hill Rd, Staten Island, NY 10314-6356.
- What is State of New York Comptrollers Office's phone number?
- The practice phone number listed in the NPPES registry for State of New York Comptrollers Office is (718) 494-5151.
- Does State of New York Comptrollers Office accept Medicare?
- State of New York Comptrollers Office 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 State of New York Comptrollers Office?
- The authorized official listed on State of New York Comptrollers Office's NPPES record is Earl Jefferson, Director of Central Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of New York Comptrollers Office's NPI active?
- Yes — State of New York Comptrollers Office's NPI (1750469912) is active in the NPPES registry as of the last update on 2015-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.