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Victory Medical Group Pllc

Family Medicine Physician in Staten Island, NY · enumerated 2010 · authorized official Omar Klobocista, Medical Doctor.

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

National Provider Identifier

1912223280

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Registry record

Entity type Organization (Type 2)
Legal business name Victory Medical Group Pllc
Practice address 220 Victory Blvd, Staten Island, NY, 10301
Phone (718) 447-1080
Fax (718) 447-1559
Enumeration date Apr 12, 2010
Last updated in NPPES Jan 12, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 255828 (NY) Primary

Authorized official

Name Omar Klobocista
Title Medical Doctor
Phone (347) 698-0710

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

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 Victory Medical Group Pllc?
Victory Medical Group Pllc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-12.