Edwin R Roman DPM LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD002838 Issued in NJ

Legal business name

EDWIN R ROMAN DPM LLC

Practice address

230 W Jersey St
Suite 104
Elizabeth, NJ 07202-1364

Phone

(908) 352-1400

Fax

(908) 352-7900

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Edwin R Roman, DPM

Title

Sole MBR

Phone

(908) 352-1400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1114181906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W JERSEY ST",
            "address_2": "SUITE 104",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021364",
            "telephone_number": "908-352-1400",
            "fax_number": "908-352-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W JERSEY ST",
            "address_2": "SUITE 104",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021364",
            "telephone_number": "908-352-1400",
            "fax_number": "908-352-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN R ROMAN DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "908-352-1400",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD002838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.