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

S. Adimoolam, Physician, PC

Organization Specialist · NPI 1861561441

S. Adimoolam, Physician, PC provides Specialist services in Staten Island, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

1756 Richmond Ave
Staten Island, NY 10314-3902 Not confirmed with CMS for 18 years — call before visiting
Phone: (718) 494-3383
Fax: (718) 494-1705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence NYS121313 (NY)

Record details

NPI number1861561441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Prucha — Office Manager · (718) 494-4934
NPI enumeratedNovember 7, 2006
Last updated in NPPESAugust 18, 2008
Mailing address1756 Richmond Ave, Staten Island, NY 10314-3902

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