OrganizationActive
State of New York
NPI 1962579235 · Clinical Medical Laboratory · Staten Island, NY
State of New York is a Clinical Medical Laboratory organization in Staten Island, NY (NPI 1962579235).
Provider details
- NPI number
- 1962579235
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Edmund Jenkins, Lab Director(718) 494-5236
- License
- 7097M040 (NY)
Specialties & taxonomies
Laboratories
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
1050 Forest Hill Rd
Staten Island, NY 10314-6356
Phone: (718) 494-5345
Fax: (718) 494-0694
Street-level locationGet directions
Mailing address
1050 Forest Hill Rd
Staten Island, NY 10314-6356
Other names (DBA / former)
- Other name
- Ibr Specialty Clinical Laboratories
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2009-02-25
Frequently asked questions
- What is State of New York's NPI number?
- State of New York's National Provider Identifier (NPI) is 1962579235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of New York?
- State of New York is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is State of New York located?
- State of New York's practice location on file with NPPES is 1050 Forest Hill Rd, Staten Island, NY 10314-6356.
- What is State of New York's phone number?
- The practice phone number listed in the NPPES registry for State of New York is (718) 494-5345.
- Who is the authorized official for State of New York?
- The authorized official listed on State of New York's NPPES record is Edmund Jenkins, Lab Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of New York's NPI active?
- Yes — State of New York's NPI (1962579235) is active in the NPPES registry as of the last update on 2009-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.