Organization provider

NY MEMORY AND BEHAVIORAL CARE LLC

Geriatric Psychiatry Physician Medicare enrolled

NY MEMORY AND BEHAVIORAL CARE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1336912005, based in Staten Island, NY. It is classified under Geriatric Psychiatry Physician.

Getting there

The practice address on file is 260 CHRISTOPHER LN STE 102A, Staten Island, NY 10314. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

260 CHRISTOPHER LN STE 102A, Staten Island, NY 10314 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
5597100818

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Geriatric Psychiatry covers

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. NUCC Health Care Provider Taxonomy, code 2084P0805X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Geriatric Psychiatry

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1336912005 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateNov 3, 2023
Last updatedJul 11, 2025
StatusActive
Practice address 260 CHRISTOPHER LN STE 102A
Staten Island, NY 10314
(973) 295-6335
Fax (862) 204-3456
Mailing address 575 ROUTE 28 STE 2108
Raritan, NJ 08869
This record was updated on Jul 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1336912005 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 3 6 9 1 2 0 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 6 6 9 1 4 0 0

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1336912005?
NPI 1336912005 is the National Provider Identifier assigned to NY MEMORY AND BEHAVIORAL CARE LLC in Staten Island, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Geriatric Psychiatry cover?
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
How do I contact NY MEMORY AND BEHAVIORAL CARE LLC?
The phone number on file with NPPES is (973) 295-6335, last updated Jul 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does NY MEMORY AND BEHAVIORAL CARE LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1336912005 a valid number?
Yes. 1336912005 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.