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DR. EDWARDO J MEDINA JR. PHD THD
NPI 1437370137
Counselor - Mental Health in Staten Island, NY

Active since May 01, 2007
800 MANOR RD #2V, PROFESSIONAL SUITES #2V, STATEN ISLAND, NY 10314(646) 266-4010(718) 761-5562 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edwardo J Medina Jr. Phd Thd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARDO J MEDINA JR. PHD THD (NPI 1437370137) is an individual mental health provider in Staten Island, New York, licensed in (SW081981) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1437370137
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. EDWARDO J MEDINA JR.Credential: PHD THD
Location Address800 MANOR RD #2V, PROFESSIONAL SUITES #2VStaten Island, NY 10314-7016
Mailing AddressPo Box 0891, Kabbelah Sw Ny Nj GroupStaten Island, NY 10314-0891 · (718) 720-0292 · Fax (718) 761-5562
Phone(646) 266-4010
Fax(718) 761-5562
Sole ProprietorNo
Enumeration DateMay 1, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1437370137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · SW081981
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW081981
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License SW081981

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwardo Medina's NPI number?

The NPI number for Edwardo Medina is 1437370137. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Edwardo Medina located?

Edwardo Medina practices at 800 Manor Rd #2v Professional Suites #2v, Staten Island, NY 10314. The listed phone number is (646) 266-4010.

What is Edwardo Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Edwardo Medina was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.