Individual provider Active NPI

Jo-Ann Jenkins-Roman, R.N.

  • School Registered Nurse
  • Staten Island, NY
National Provider Identifier
1619366358
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
429832-1 Issued in NY
Practice address
211 Daniel Low Ter
Staten Island, NY 10301-2337
Phone
(718) 556-9068
Fax
(718) 727-5386
NPI assigned
Jan 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 429832-1 NY Primary

Addresses

Primary practice location

211 Daniel Low Ter
Staten Island, NY 10301-2337

Mailing address

211 Daniel Low Ter
Staten Island, NY 10301-2337
Phone (718) 556-9068

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

State licenses

LicenseStateTypeSpecialty
429832-1NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1619366358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 DANIEL LOW TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012337",
            "telephone_number": "718-556-9068",
            "fax_number": "718-727-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 DANIEL LOW TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012337",
            "telephone_number": "718-556-9068",
            "fax_number": "718-727-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS-ROMAN",
        "first_name": "JO-ANN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "429832-1",
            "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 Jan 19, 2015; 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.