Roman Dworecki, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

136836 Issued in NY

Practice address

409 E 14TH St Ste a
New York, NY 10009-2706

Phone

(212) 677-3200

Fax

(212) 529-4318

NPI assigned

Aug 7, 2006

Last updated

Nov 29, 2011By the provider in NPPES

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1093724056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E 14TH ST STE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092706",
            "telephone_number": "212-677-3200",
            "fax_number": "212-529-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E 14TH ST STE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092706",
            "telephone_number": "212-677-3200",
            "fax_number": "212-529-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORECKI",
        "first_name": "ROMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "136836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00573377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aeshita Dwivedi, MD
• Mollie Elizabeth Dwivedi, PA
• Nitya Dwivedi
• Prashant Dwivedi
• Ivy Dwomoh, M.D
• Ilana Dworin, PSYD
• Andrew J. Dwork, M.D.
• Janice M. Dworkin, M.D.
• Alexis Dwyer
• Amy Dwyer, LCSW

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.