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

Staten Island Physician Practice PC

Organization Dermatology Physician · NPI 1568413169

Staten Island Physician Practice PC is a Dermatology Physician in New York, New York. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
15
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

441 9th Ave 9th Fl
New York, NY 10001-1623
Phone: (646) 680-2894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Procedural Dermatology Physician Taxonomy 207NS0135X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Hematology & Oncology Physician Taxonomy 207RH0003X
Ophthalmology Physician Taxonomy 207W00000X
Pediatrics Physician Taxonomy 208000000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1568413169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlena Simpson — Avp - Credentialing · (646) 680-2894
Other names Advantagecare Physicians
NPI enumeratedMay 16, 2006
Last updated in NPPESDecember 1, 2015
Mailing address441 9th Ave, 9th Floor, New York, NY 10001-1623

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