Nicholas P. Roussis, M.D., P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

231555 Issued in NY

Legal business name

NICHOLAS P. ROUSSIS, M.D., P.C.

Practice address

2627B Hylan Blvd
Staten Island, NY 10306-4303

Phone

(718) 667-4244

Fax

(718) 667-5510

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas P. Roussis, M.D.

Title

Authorized Official

Phone

(718) 667-4244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1023156361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126313",
            "telephone_number": "718-667-4244",
            "fax_number": "718-667-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627B HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064303",
            "telephone_number": "718-667-4244",
            "fax_number": "718-667-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS P. ROUSSIS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "ROUSSIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-667-4244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "231555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Rafay Khan Niazi, M.D
• Navya Nibu, RN
• Siny Nibu, LPN
• Ludivic Molina Nicanor, PT
• Alexis Nicheporuck, MD
• Irene Nicholas, MD
• Katelynn Nancy Nichols, MS., ED.
• Victoria Nichols, PH.D.
• Chelsea Nicholson, M.S
• Felisa Victoria Nickel

• Obstetrics & Gynecology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.