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Staten Island Developmental Disabilities Services Office

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Staten Island, NY · enumerated 2007 · authorized official David Booth, Director.

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

National Provider Identifier

1144423062

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Registry record

Entity type Organization (Type 2)
Legal business name Staten Island Developmental Disabilities Services Office
Practice address 1150 Forest Hill Rd, Staten Island, NY, 10314
Fax (718) 983-5462
Enumeration date Jun 7, 2007
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities · License 006544 (NY) Primary

Authorized official

Name David Booth
Title Director

Other identifiers

Identifier Type State Issuer
01113928 Medicaid NY -
3351739 Other NY NCPDP PROVIDER ID
006544 Other NY STATE LICENSE

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.

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Frequently asked questions

Where is Staten Island Developmental Disabilities Services Office located?
The practice location on file with NPPES is in Staten Island, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.