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State of New York

Clinical Medical Laboratory in Staten Island, NY · enumerated 2006 · authorized official Edmund Jenkins, Lab Director.

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

National Provider Identifier

1962579235

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Registry record

Entity type Organization (Type 2)
Legal business name State of New York
Other name <Unavail>
Practice address 1050 Forest Hill Rd, Staten Island, NY, 10314
Phone (718) 494-5345
Fax (718) 494-0694
Enumeration date Nov 29, 2006
Last updated in NPPES Feb 25, 2009

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories · License 7097M040 (NY) Primary

Authorized official

Name Edmund Jenkins
Title Lab Director
Phone (718) 494-5236

Other identifiers

Identifier Type State Issuer
33D0860102 Other - CLIA
00782518 Medicaid NY -
7097M040 Other NY NYS LAB 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

What type of organization is State of New York?
State of New York is registered in NPPES as a Clinical Medical Laboratory (its primary provider taxonomy).
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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-02-25.