Individual provider Active NPI

Nelson Edgar Romero, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sparkill, NY
National Provider Identifier
1104571124
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404013 Issued in NY
Practice address
8 Van Terrace
Sparkill, NY 10976-1406
Phone
(845) 589-2222
NPI assigned
Feb 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404013 NY Primary

Addresses

Primary practice location

8 Van Terrace
Sparkill, NY 10976-1406

Mailing address

8 Van Terrace
Sparkill, NY 10976-1406
Phone (845) 589-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326002860 NY Practitioner - Nurse Practitioner 4688011653 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (7 of 10)

OrganizationSpecialtyStatusNew patients
Mending Minds LLC Psychiatric/Mental Health CurrentSince Oct 7, 2025 Accepting new patients
St. Joseph'S Hospital Yonkers Current Accepting new patients
St Josephs Hospital Yonkers CurrentSince Apr 15, 2024 Accepting new patients
Hispanic Counseling Center, Inc CurrentSince Jul 1, 2024 Accepting new patients
St.Vincent' Hospital Westchester Psych CurrentSince Apr 15, 2024 Accepting new patients
Nelson E Romero Nurse Practitioner in Psychiatry PLLC Psychiatric/Mental Health PastSince Feb 1, 2022 Accepting new patients
St.Vincent'S Hospital Westchester a Division of Saint Joseph'S Medical Past Accepting new patients

Locations

85 W Main St
Ste 101
Bay Shore, NY 11706
Phone (631) 301-4868

275 North St
Harrison, NY 10528
Phone (914) 925-5211

344 Fulton Ave
Hempstead, NY 11550
Phone (516) 538-2613

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 7

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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1104571124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 VAN TERRACE",
            "city": "SPARKILL",
            "state": "NY",
            "postal_code": "109761406",
            "telephone_number": "845-589-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 VAN TERRACE",
            "city": "SPARKILL",
            "state": "NY",
            "postal_code": "109761406",
            "telephone_number": "845-589-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "NELSON",
        "middle_name": "EDGAR",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-17",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparkill, NY

Sources for this page

Verify at the official NPI Registry.