Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Staten Island Lithotripsy LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1457539561

Staten Island Lithotripsy LLC is an Ambulatory Surgical Clinic/Center in Staten Island, New York. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1324 Forest Ave #228
Staten Island, NY 10302-2028
Phone: (520) 323-8732
Fax: (520) 547-1865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1457539561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ann Evanoski — Billing Manager · (520) 547-4130
NPI enumeratedJanuary 31, 2008
Last updated in NPPESOctober 1, 2008
Mailing address6339 E Speedway Blvd, Suite 201, Tucson, AZ 85710-1147

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