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

Staten Island Medical Group, PLLC

Organization Ambulatory Surgical Clinic/Center · NPI 1326302803

Staten Island Medical Group, PLLC is an Ambulatory Surgical Clinic/Center in Staten Island, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2071 Clove Rd
Staten Island, NY 10304-1612
Phone: (718) 391-0303
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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 · Licence 4431 (NY)

Record details

NPI number1326302803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosemarie Phillip — Medical Director · (201) 857-4011
NPI enumeratedJune 28, 2012
Last updated in NPPESJune 28, 2012
Mailing addressPo Box 581, Saddle River, NJ 07458-0581

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