Organization Active NPI

Irina Staicu DO LLC

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1891354932
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IRINA STAICU DO LLC
Doing business as
Irina Staicu DO LLC
Practice address
1420 Walnut St Ste 904
Philadelphia, PA 19102-4009
Phone
(215) 735-8052
NPI assigned
Jun 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Irina Staicu
Title
Owner
Phone
(215) 735-8052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1420 Walnut St Ste 904
Philadelphia, PA 19102-4009

Mailing address

328 Cobble Creek Cir
Cherry Hill, NJ 08003-1839
Phone (856) 580-3368

Other identifiers 2

IdentifierTypeStateIssuer
1265846034OtherNPI
OS018048OtherPAPA STATE LICENSE

Other names 1

  • Irina Staicu DO LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@centercitymedicalcenter.com

National Provider Directory

National Provider Directory

Locations

1420 Walnut St
Ste 904
Philadelphia, PA 19102
Phone (215) 735-8052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1891354932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 COBBLE CREEK CIR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031839",
            "telephone_number": "856-580-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WALNUT ST STE 904",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024009",
            "telephone_number": "215-735-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRINA STAICU DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "STAICU",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-735-8052",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265846034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE",
            "identifier": "OS018048",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@centercitymedicalcenter.com",
            "affiliation": "N",
            "address_1": "1420 Walnut St Ste 904",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191024009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Irina Staicu DO LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.