Active NPI
Ricardo J Roman, MD
- Gastroenterology Physician
- North Miami Beach, FL
National Provider Identifier
1124001334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0046568
- Practice address
- 16855 NE 2ND Ave
Suite 202
North Miami Beach, FL 33162-1744 - Phone
- (305) 770-0062
- Fax
- (305) 770-1060
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0046568 | FL | Primary |
Addresses
Primary practice location
16855 NE 2ND Ave
Suite 202
North Miami Beach, FL 33162-1744
Mailing address
16855 NE 2ND Ave
Suite 202
North Miami Beach, FL 33162-1744
Phone (305) 770-0062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062388100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0046568 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Gi Group of South Florida PA | Gastroenterology | Current | Accepting new patients |
Locations
3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333
16855 NE 2nd Ave
Ste 202
North Miami Beach, FL 33162
Phone (305) 770-0062
Interoperability endpoints
- ricardoroman@directaddress.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- North Miami Beach, FL
- NPI 1023091246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224720000000",
"number": "1124001334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16855 NE 2ND AVE",
"address_2": "SUITE 202",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331621744",
"telephone_number": "305-770-0062",
"fax_number": "305-770-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16855 NE 2ND AVE",
"address_2": "SUITE 202",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331621744",
"telephone_number": "305-770-0062",
"fax_number": "305-770-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "RICARDO",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2008-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0046568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062388100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.