Active NPI
Irina Staicu, DO, MMS
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1265846034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS018048
- Practice address
- 1420 Walnut St Ste 904
Philadelphia, PA 19102 - Phone
- (215) 735-8052
- Fax
- (215) 735-5323
- NPI assigned
- Jun 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS018048 | PA | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | OS018048 | PA |
Addresses
Primary practice location
1420 Walnut St Ste 904
Philadelphia, PA 19102
Mailing address
111 Chestnut St Unit 212
Cherry Hill, NJ 08002-1836
Phone (856) 580-3368
Other practice location 1
6722 Bustleton Ave Ste 5
Philadelphia, PA 19149-2341
Phone (215) 735-0400
Other practice location 2
1335 W Tabor Rd Ste 205
Philadelphia, PA 19141-3040
Phone (215) 735-6210
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS018048 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center City Medical Center | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1265846034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CHESTNUT ST UNIT 212",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080021836",
"telephone_number": "856-580-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 WALNUT ST STE 904",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19102",
"telephone_number": "215-735-8052",
"fax_number": "215-735-5323"
}
],
"practiceLocations": [
{
"address_1": "6722 Bustleton Ave Ste 5",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191492341",
"country_code": "US",
"telephone_number": "215-735-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1335 W Tabor Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413040",
"country_code": "US",
"telephone_number": "215-735-6210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAICU",
"first_name": "IRINA",
"name_prefix": "Dr.",
"credential": "DO, MMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS018048",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "OS018048",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.