Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Staten Island Medical Practice, P.C.

Primary Care Clinic/Center in Staten Island, NY · enumerated 2010 · authorized official Leonard Marchetta, Physicians' Assistant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104142082

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Staten Island Medical Practice, P.C.

Practice address 5405 Hylan Blvd, Staten Island, NY, 10312

Phone (718) 948-5475

Fax (718) 948-5479

Enumeration date Apr 16, 2010

Last updated in NPPES Apr 16, 2010

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 191751 (NY) Primary

Authorized official

Name Leonard Marchetta

Title Physicians' Assistant

Phone (718) 948-5475

Other identifiers

Identifier	Type	State	Issuer
11177655	Other	-	CAQH
01860833	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Staten Island Medical Practice, P.C.?

Staten Island Medical Practice, P.C. is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-16.