Organization Active NPI

Karl Roman

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pompton Lakes, NJ
National Provider Identifier
1114694007
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
KARL ROMAN
Practice address
23 Colfax Ave
Pompton Lakes, NJ 07442-1709
Phone
(973) 858-8163
NPI assigned
Aug 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Karl D Roman, MSW, LCSW,SAP
Title
President
Phone
(973) 800-0864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

23 Colfax Ave
Pompton Lakes, NJ 07442-1709

Mailing address

PO Box 493
Pompton Lakes, NJ 07442-0493
Phone (973) 858-8163

National Provider Directory

National Provider Directory
Tax ID family
Karl Roman3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1114694007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074420493",
            "telephone_number": "973-858-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 COLFAX AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421709",
            "telephone_number": "973-858-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL ROMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-800-0864",
        "authorized_official_credential": "MSW, LCSW,SAP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.