Individual provider Active NPI

Ronald C Striano, PHD

  • Psychologist
  • Mendham, NJ
National Provider Identifier
1780648204
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100285000 Issued in NJ
Practice address
3 Muirfield Lane
Mendham, NJ 07945-1234
Phone
(973) 886-7453
Fax
(570) 402-1144
NPI assigned
Apr 13, 2006
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100285000 NJ Primary

Addresses

Primary practice location

3 Muirfield Lane
Mendham, NJ 07945-1234

Mailing address

PO Box 413
Sciota, PA 18354-0413
Phone (973) 886-7453

Other identifiers 1

IdentifierTypeStateIssuer
5007003MedicaidNJ

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602000993 NJ Practitioner - Clinical Psychologist 6406899228 Practice locations: Mendham, NJ; Toms River, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Muirfield LN
Mendham, NJ 07945-1234
Phone (973) 543-3370

892 Commons Way
Suite H
Toms River, NJ 08755-6430
Phone (732) 286-0003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100285000NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1780648204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "SCIOTA",
            "state": "PA",
            "postal_code": "183540413",
            "telephone_number": "973-886-7453",
            "fax_number": "570-402-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MUIRFIELD LANE",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451234",
            "telephone_number": "973-886-7453",
            "fax_number": "570-402-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIANO",
        "first_name": "RONALD",
        "middle_name": "C",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100285000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5007003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendham, NJ

Sources for this page

Verify at the official NPI Registry.