Roman Gnatenko

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

632545 Issued in NY

Practice address

157 Vulcan St
Staten Island, NY 10305-4220

Phone

(718) 288-1230

NPI assigned

Dec 15, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1053855791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 VULCAN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054220",
            "telephone_number": "718-288-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 VULCAN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054220",
            "telephone_number": "718-288-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNATENKO",
        "first_name": "ROMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "632545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vyacheslav Glukh
• Kristina Glushkova
• Keirstin Glynn-Nevins
• GM Family Resources Inc.
• Toni Rae Marie Gnall, M.A., CCC-SLP
• Lisa Marie Gnerre, M.S. ED
• Gno Services, Inc.
• Jessica-Ann Gnyp, L.P.N.
• Go Health Supply Corp
• Amos C Go

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.