OrganizationActive
S. Adimoolam, Physician, PC
NPI 1861561441 · Specialist · Staten Island, NY
S. Adimoolam, Physician, PC is a Specialist organization in Staten Island, NY (NPI 1861561441).
Provider details
- NPI number
- 1861561441
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Debra Prucha, Office Manager(718) 494-4934
- License
- NYS121313 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
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
1756 Richmond Ave
Staten Island, NY 10314-3902
Phone: (718) 494-3383
Fax: (718) 494-1705
Street-level locationGet directions
Mailing address
1756 Richmond Ave
Staten Island, NY 10314-3902
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2008-08-18
Frequently asked questions
- What is S. Adimoolam, Physician, PC's NPI number?
- S. Adimoolam, Physician, PC's National Provider Identifier (NPI) is 1861561441, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is S. Adimoolam, Physician, PC?
- S. Adimoolam, Physician, PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is S. Adimoolam, Physician, PC located?
- S. Adimoolam, Physician, PC's practice location on file with NPPES is 1756 Richmond Ave, Staten Island, NY 10314-3902.
- What is S. Adimoolam, Physician, PC's phone number?
- The practice phone number listed in the NPPES registry for S. Adimoolam, Physician, PC is (718) 494-3383.
- Who is the authorized official for S. Adimoolam, Physician, PC?
- The authorized official listed on S. Adimoolam, Physician, PC's NPPES record is Debra Prucha, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is S. Adimoolam, Physician, PC's NPI active?
- Yes — S. Adimoolam, Physician, PC's NPI (1861561441) is active in the NPPES registry as of the last update on 2008-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.