Individual provider Active NPI

Jose Romney, RN

  • Mental Health Counselor
  • Staten Island, NY
National Provider Identifier
1578807301
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
315459 Issued in NY
Practice address
49 Hudson PL
Staten Island, NY 10303-2626
Phone
(877) 686-0868
Fax
(206) 888-2075
NPI assigned
Nov 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 315459 NY Primary

Addresses

Primary practice location

49 Hudson PL
Staten Island, NY 10303-2626

Mailing address

49 Hudson PL
Staten Island, NY 10303-2626
Phone (877) 686-0868

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)
Not enrolled
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1578807301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HUDSON PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032626",
            "telephone_number": "877-686-0868",
            "fax_number": "206-888-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HUDSON PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032626",
            "telephone_number": "877-686-0868",
            "fax_number": "206-888-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMNEY",
        "first_name": "JOSE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-16",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "315459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.