Individual provider Active NPI

Josefina Mendoza Sta. Romana, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1003972175
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
224399 Issued in NY
Practice address
545 E 14TH St
New York, NY 10009-3020
Phone
(212) 505-8272
NPI assigned
Dec 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 207763 MA
Psychiatry Physician 2084P0800X 224399 NY Primary
Psychiatry Physician 2084P0800X MD418444 PA
Psychiatry Physician 2084P0800X 30762 AZ
Psychiatry Physician 2084P0800X 053180 GA
Psychiatry Physician 2084P0800X C52364 CA
Psychiatry Physician 2084P0800X 01056738A IN
Psychiatry Physician 2084P0800X 25MA07532100 NJ
Psychiatry Physician 2084P0800X 46033-020 WI
Psychiatry Physician 2084P0800X 47282 MN

Addresses

Primary practice location

545 E 14TH St
New York, NY 10009-3020

Mailing address

545 E 14TH St
New York, NY 10009-3020

Other names 1

  • Dr. Josefina Mendoza Staromana Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C52364CAMDPsychiatry Physician
053180GAMDPsychiatry Physician
01056738AINMDPsychiatry Physician
207763MAMDPsychiatry Physician
47282MNMDPsychiatry Physician
25MA07532100NJMDPsychiatry Physician
46033-020WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
The Duluth Clinic, LTD. Past Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1003972175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093020",
            "telephone_number": "212-505-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STA. ROMANA",
        "first_name": "JOSEFINA",
        "middle_name": "MENDOZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "207763",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "224399",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD418444",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "30762",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "053180",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C52364",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01056738A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07532100",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "46033-020",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "47282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEFINA",
            "last_name": "STAROMANA",
            "middle_name": "MENDOZA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.