Individual provider Active NPI

Jonor Espiritu Santiago

  • Psychiatric/Mental Health Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1821404351
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401524 Issued in NY
Practice address
Metro Community Health Center
2324 Forest Avenue
Staten Island, NY 10303-1506
Phone
(718) 447-0200
NPI assigned
Jul 3, 2014
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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 401524 NY Primary

Addresses

Primary practice location

Metro Community Health Center
2324 Forest Avenue
Staten Island, NY 10303-1506

Mailing address

52 Grace Dr
Old Bridge, NJ 08857-2546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150318000410 NJ Practitioner - Nurse Practitioner 2860719507 Reassigns benefits to 2 organizations
I20241210002544 NY Practitioner - Nurse Practitioner 2860719507

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians
Stress Care of New Jersey, LLCGroup PAC ID 5294864575, 48 clinicians

Practice addresses (Care Compare)

1691 Route 9
Toms River, NJ 08755-1245
Phone (732) 914-1688

1691 US Hwy 9
Toms River, NJ 08755-1245
Phone (732) 914-1688

223 Monmouth Rd
West Long Branch, NJ 07764-1029
Phone (732) 571-0972

4122 Hwy 516
Matawan, NJ 07747-7031
Phone (732) 679-4500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC CurrentSince Jul 16, 2016 Accepting new patients
D Martinez Mental Health Counseling PLLC CurrentSince Aug 5, 2024 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Sep 1, 2015 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Jul 16, 2016 Accepting new patients
Crasmere Psychiatric Services, PC PastSince Nov 1, 2021 Accepting new patients
Richmond Medical Solutions, PC Past Accepting new patients

Locations

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

1691 US Highway 9
Toms River, NJ 08755
Phone (732) 914-1688

266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

6317 Metropolitan Ave
#B
Middle Village, NY 11379
Phone (347) 696-6968

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1821404351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 GRACE DR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METRO COMMUNITY HEALTH CENTER",
            "address_2": "2324 FOREST AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031506",
            "telephone_number": "718-447-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPIRITU SANTIAGO",
        "first_name": "JONOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.