Healthcare Provider Details

I. General information

NPI: 1770570632
Provider Name (Legal Business Name): SANDRA STARCIC-HERRERA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 HACKENSACK AVE
HACKENSACK NJ
07601-6319
US

IV. Provider business mailing address

655 SHREWSBURY AVE STE 308
SHREWSBURY NJ
07702-4151
US

V. Phone/Fax

Practice location:
  • Phone: 201-527-6800
  • Fax:
Mailing address:
  • Phone: 848-379-2440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MB08503600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number229073
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: