Active NPIIndividual providerSole proprietor

Mckinley Sledge Jr., NP

Nurse Practitioner, Psych/Mental Health in Staten Island, New York

NPI Number1073036505
Practice location
201 Forest Ave, Staten Island, NY 10301
Fax
—
Last updated
September 29, 2026

Mckinley Sledge is a Nurse Practitioner, Psych/Mental Health based in Staten Island, NY. Mckinley Sledge practices in Staten Island, NY and has the professional credentials of NP. The NPI Number for Mckinley Sledge is 1073036505 and holds a License No. 402220 (NY). The current practice location address for Mckinley Sledge is 201 Forest Ave, Staten Island, NY 10301 and can be reached out via phone at 718-815-3155.

Provider Profile Details

NPI Number
1073036505
Provider Name
Mckinley Sledge
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
201 Forest Ave, Staten Island, NY 10301
Phone Number
718-815-3155
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
July 17, 2017
Last Update Date
September 29, 2026
Certification Date
November 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Forest Ave
Staten Island, NY 10301
Zip
10301
Phone Number
718-815-3155
Staten Island, NY 10301Get directions →

Provider Business Mailing Address Details

Address
273 W Lake Ave
Rahway, NJ 07065-3016
City
Rahway
State
NJ
Zip
07065-3016

License Information

License Number
402220
License State
NY
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mckinley Sledge Jr., NP?

The NPI number of Mckinley Sledge Jr., NP is 1073036505. It was assigned on July 17, 2017 and is currently active in the NPPES registry.

What is the specialty of Mckinley Sledge Jr., NP?

Mckinley Sledge Jr., NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 402220.

Where does Mckinley Sledge Jr., NP practice?

The practice location is 201 Forest Ave, Staten Island, NY 10301. The office can be reached at 718-815-3155 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073036505 directly on the NPPES registry website.

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