Victory Medical Group PLLC
NPI 1912223280 · Family Medicine Physician · Staten Island, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victory Medical Group PLLC is a Family Medicine Physician organization in Staten Island, NY (NPI 1912223280).
Provider details
- NPI number
- 1912223280
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Omar Klobocista, Medical Doctor(347) 698-0710
- License
- 255828 (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
16 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
- 2010-04-12
- Last updated
- 2022-01-12
- Certified
- 2020-10-08
Frequently asked questions
- What is Victory Medical Group PLLC's NPI number?
- Victory Medical Group PLLC's National Provider Identifier (NPI) is 1912223280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Medical Group PLLC?
- Victory Medical Group PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Victory Medical Group PLLC located?
- Victory Medical Group PLLC's practice location on file with NPPES is 220 Victory Blvd, Staten Island, NY 10301-2919.
- What is Victory Medical Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Victory Medical Group PLLC is (718) 447-1080.
- Does Victory Medical Group PLLC accept Medicare?
- Victory Medical Group PLLC 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 Victory Medical Group PLLC?
- The authorized official listed on Victory Medical Group PLLC's NPPES record is Omar Klobocista, Medical Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Medical Group PLLC's NPI active?
- Yes — Victory Medical Group PLLC's NPI (1912223280) is active in the NPPES registry as of the last update on 2022-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.