MR. DAVID ROMAN (NPI# 1770704835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770704835 |
| Entity Type | Individual |
| Full Name | MR. DAVID ROMAN |
| Credential | R.P.A |
| Practice Address |
585 Schenectady Avenue Brooklyn NY 11203 |
| Mailing Address |
P.o. Box 26246 New York NY 10087-6246 |
| Practice Telephone | 7186045421 |
| Practice Fax Number | 7186045527 |
| Mailing Telephone | 7186045574 |
| Mailing Fax Number | 7186045527 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002815 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE | 002815 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518036748 | David Roman | Internal Medicine | 15 01 Broadway, Suite 12, Fair Lawn, NJ 07410 | 2006-11-06 |
| 1467956649 | David Michael Roman II | Specialist/Technologist, Other | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2018-03-21 |
| 1942691308 | David Roman | Counselor | 47665 Oasis St, Indio, CA 92201-6950 | 2015-02-06 |
| 1376889360 | David C Roman | Massage Therapist | 11011 Sw 88th St, F-213, Miami, FL 33176-1242 | 2012-12-18 |
| 1730437708 | David Roman | Student in an Organized Health Care Education/Training Program | 173 Chelsea St, Everett, MA 02149-4632 | 2012-08-24 |
| 1043514409 | David Gaxiola Roman | Rehabilitation Counselor | 1295 W State St, El Centro, CA 92243-2845 | 2010-12-28 |
| Street Address |
585 SCHENECTADY AVENUE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316958937 | Vladislav Podolski | Physical Therapist | 585 Schenectady Avenue, Brooklyn, NY 11203 | 2006-08-10 |
| 1639722937 | Shalom Israel Benzaquen | Student in an Organized Health Care Education/Training Program | 585 Schenectady Avenue, Brooklyn, NY 11203 | 2019-07-17 |
| 1619268869 | Ayman Abadeer | Surgery | 585 Schenectady Avenue, Leviton Bldg, Room 406, Brooklyn, NY 11203 | 2011-04-22 |
| 1548561285 | Judith Clerveau | Social Worker | 585 Schenectady Avenue, Kingsbrook Jewish Medical Center, Brooklyn, NY 11203-1891 | 2010-11-11 |
| 1235454117 | Diana Ugo Emeh | Pharmacist | 585 Schenectady Avenue, Department Pharmacy, Brooklyn, NY 11203 | 2010-04-02 |
| 1073838546 | Abraham Sharabi | Pharmacist | 585 Schenectady Avenue, Brooklyn, NY 11203 | 2010-03-29 |
| 1861613929 | Wigbert Saul Godoy | Surgery | 585 Schenectady Avenue, Brooklyn, NY 11203 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1447716824 | Laura Holmes | Physician Assistant | 401 S 5th St Fl 2, Brooklyn, NY 11211-7426 | 2019-02-11 |
| 1497206981 | Viktoriya Sionov | Physician Assistant | 6522 Avenue M, Brooklyn, NY 11234-5600 | 2016-10-19 |
| 1003212994 | Precision Physicians Assistant | Physician Assistant | 149 Dupont St, Apt1, Brooklyn, NY 11222-1279 | 2014-11-05 |
| 1417386640 | Alexandra Demeglio | Physician Assistant | 1357 Ovington Ave, Brooklyn, NY 11219-6111 | 2013-11-07 |
| 1659706570 | Lyudmila Trubetsky | Physician Assistant | 2942 W 5th St, Apt. 7t, Brooklyn, NY 11224-3834 | 2013-09-10 |
| 1831531094 | Julio Alberto Chau | Physician Assistant | 173 Clinton St Apt B, Brooklyn, NY 11201-5640 | 2013-07-29 |
| 1164799508 | James Earl La Voy | Physician Assistant | 257 Gold St, # 6 J, Brooklyn, NY 11201-2034 | 2011-11-30 |
| 1629363486 | Michael Joseph Levine | Physician Assistant | 1030 Park Pl Apt B10, Brooklyn, NY 11213-1967 | 2011-06-09 |
| 1134411630 | Suzanne Cassandra Forde | Physician Assistant | 1850 Brooklyn Avenue, Apt. 4h, Brooklyn, NY 11210-4248 | 2011-05-03 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.