Individual provider Active NPI

Romeo S. Purugganan

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1073632428
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
208914 Issued in NY
Practice address
234 E 149TH St
Bronx, NY 10451-5504
Phone
(718) 579-5898
NPI assigned
Mar 28, 2007
Last updated
Nov 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 208914 NY Primary

Addresses

Primary practice location

234 E 149TH St
Bronx, NY 10451-5504

Mailing address

300 E 93Rd St
Apt. 20E
New York, NY 10128-6101
Phone (917) 693-0674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050923000447 NY Practitioner - Psychiatry 2769416247 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Francis HospitalGroup PAC ID 9234101221, 96 clinicians
Mercy Medical CenterGroup PAC ID 4082518006, 83 clinicians
St Charles Hospital CorpGroup PAC ID 6103733050, 62 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (631) 669-2255

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 705-3428

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 474-6000

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
208914NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Oct 28, 2024 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Oct 28, 2024 Accepting new patients
Mercy Medical Center CurrentSince Oct 28, 2024 Accepting new patients
St Charles Hospital Corp CurrentSince Oct 28, 2024 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
St. Francis Hospital CurrentSince Oct 28, 2024 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Oct 28, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
St Francis Hospital United States Catholic Conference CurrentSince Oct 28, 2024 Accepting new patients
St. Francis Hospital Current Accepting new patients
St. Joseph Hospital CurrentSince Oct 28, 2024 Accepting new patients
Hospitalist Healthcare Services PLLC Past Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1073632428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 93RD ST",
            "address_2": "APT. 20E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286101",
            "telephone_number": "917-693-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURUGGANAN",
        "first_name": "ROMEO",
        "middle_name": "S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "208914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.