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

Staten Island Medical Group, PLLC

Organization Ambulatory Surgical Clinic/Center · NPI 1326302803

Staten Island Medical Group, PLLC provides Ambulatory Surgical Clinic/Center services 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 Not confirmed with CMS for 14 years — call before visiting
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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