St. Joseph'S Imaging

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

302135 Issued in NY

Legal business name

ST. JOSEPH'S IMAGING

Practice address

4109 Medical Center Dr
Fayetteville, NY 13066-6600

Phone

(315) 329-7555

Fax

(315) 329-7559

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ann M Roman, MS APRN BC ANP

Title

Interventional Radiology

Phone

(315) 329-7555

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherwin C Pollock, M.D.

  • Diagnostic Radiology Physician
  • Liverpool, NY
  • NPI 1164414066
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1457361529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 MEDICAL CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666600",
            "telephone_number": "315-329-7555",
            "fax_number": "315-329-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 MEDICAL CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666600",
            "telephone_number": "315-329-7555",
            "fax_number": "315-329-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INTERVENTIONAL RADIOLOGY",
        "authorized_official_telephone_number": "315-329-7555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS APRN BC ANP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "302135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob S Spillane
• Caitlin Spinelli
• Kerry Elizabeth Spitze, MS, NCC, LMHC
• Lisa Sprague, LPN
• St Joseph'S Hospital Health Center
• Jud Staller, M.D.
• Kimberly J Staniec-Pinkerton, SLP
• Jennifer Starowicz
• Vicki Lynn Stenuf, RPH
• Irving Sterman, MD

• Adult Health Nurse Practitioner in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.