Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Staten Island Pediatric Cardiology, PLLC

Organization Pediatric Cardiology Physician · NPI 1770993644

Staten Island Pediatric Cardiology, PLLC provides Pediatric Cardiology Physician services in Staten Island, New York. Registered with an NPI since 2014.

In the registry since
2014
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

2550 Victory Blvd 302
Staten Island, NY 10314-6611 Not confirmed with CMS for 12 years — call before visiting
Phone: (718) 983-1496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X

Record details

NPI number1770993644
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Lacorte — Owner · (718) 983-1496
NPI enumeratedMay 1, 2014
Last updated in NPPESMay 1, 2014
Mailing address2550 Victory Blvd, 302, Staten Island, NY 10314-6611

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