Individual provider Active NPI

Pamela Garcia-Roman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Paterson, NJ
National Provider Identifier
1710741046
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15004800 Issued in NJ
Practice address
645 Main St
Paterson, NJ 07503-3028
Phone
(973) 754-2000
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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 26NJ15004800 NJ Primary

Addresses

Primary practice location

645 Main St
Paterson, NJ 07503-3028

Mailing address

627 Broad Street
Back Door
Clifton, NJ 07013
Phone (201) 981-4725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250207002386 NJ Practitioner - Nurse Practitioner 1951741925 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians

Practice addresses (Care Compare)

3 Garret Mountain PLZ
Suite 200
Woodland Park, NJ 07424-3376
Phone (201) 822-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JLS Medical PC Psychiatric/Mental Health CurrentSince May 19, 2025 Accepting new patients
Internal Medicine and Geriatrics Practice, Inc CurrentSince Jun 13, 2025 Accepting new patients
Mindful Approach LLC. Psychiatric/Mental Health CurrentSince May 22, 2024 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation Past Accepting new patients

Locations

1414 Main Ave
Clifton, NJ 07011
Phone (973) 253-6000

1414 Main Ave
Ste B
Clifton, NJ 07011
Phone (973) 253-6000

101 Hudson St
Ste 2131
Jersey City, NJ 07302
Phone (201) 981-4725

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

3 Garret Mountain Plz
Ste 200
Woodland Park, NJ 07424

Organizations & group practices 4

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1710741046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 BROAD STREET",
            "address_2": "BACK DOOR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "201-981-4725",
            "fax_number": "973-860-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075033028",
            "telephone_number": "973-754-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-ROMAN",
        "first_name": "PAMELA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15004800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.