Active NPI
Jaime F. Roman, M.D.
- Internal Medicine Physician
- Jackson Heights, NY
National Provider Identifier
1144394784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 152166
- Practice address
- 3751 91St St
Jackson Heights, NY 11372-7927 - Phone
- (718) 205-5355
- Fax
- (718) 429-7952
- NPI assigned
- Nov 17, 2006
- Last updated
- Sep 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 152166 | NY | Primary |
Addresses
Primary practice location
3751 91St St
Jackson Heights, NY 11372-7927
Mailing address
3751 91St St
Jackson Heights, NY 11372-7927
Phone (718) 458-7070
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0064849 | Other | NY | GHI ID |
| 7571 | Other | NM | AETNA USHC ID |
| 83578 | Other | NY | VYTRA ID |
| 152166P | Other | NY | HEALTH CARE PARTNERS ID |
| 00829790 | Medicaid | NY | |
| 152166C29 | Other | NY | HEALTH FIRST ID |
| DP284 | Other | NY | OXFORD ID |
| 100083560101 | Other | NY | UNITED HEALTH CARE ID |
| 112991572 | Other | NY | 1199 HOME CARE ID |
| 161395 | Other | NY | ELDERPLAN ID |
| 152166B29 | Other | NY | HEALTH FIRST ID |
| 297688 | Other | NY | WELLCARE ID |
| 10E93 | Other | NY | EMPIRE BLUE CROSS HMO |
| 10E931 | Other | NY | EMPIRE MEDICAREID |
| 10E932 | Other | NY | EMPIRE BLUE CROSS ID |
| 7566 | Other | NY | AETNA USHC ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3751 91St St
Jackson Heights, NY 11372-7927
Phone (718) 458-7070
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152166 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gem Chemists Inc. | Past | Accepting new patients | |
| Dr. Ramon Valderrama M.D., PC | Past | Accepting new patients | |
| Jaime F Roman MD | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFHFAA/Endpoint/EFHFAA
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Medical Physician Assistant
- Far Rockaway, NY
- NPI 1760635825
-
- Physician Assistant
- Jackson Heights, NY
- NPI 1881907160
Organizations & group practices 4
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.
-
- Health Maintenance Organization
- Jackson Heights, NY
- NPI 1376749283
-
- Specialist
- Jackson Heights, NY
- NPI 1700118684
-
- Specialist
- New York, NY
- NPI 1639455355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1144394784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3751 91ST ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727927",
"telephone_number": "718-458-7070",
"fax_number": "718-429-7952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 91ST ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727927",
"telephone_number": "718-205-5355",
"fax_number": "718-429-7952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "JAIME",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "152166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI ID",
"identifier": "0064849",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC ID",
"identifier": "7571",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA ID",
"identifier": "83578",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CARE PARTNERS ID",
"identifier": "152166P",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00829790",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST ID",
"identifier": "152166C29",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD ID",
"identifier": "DP284",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE ID",
"identifier": "100083560101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 HOME CARE ID",
"identifier": "112991572",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN ID",
"identifier": "161395",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST ID",
"identifier": "152166B29",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE ID",
"identifier": "297688",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS HMO",
"identifier": "10E93",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE MEDICAREID",
"identifier": "10E931",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS ID",
"identifier": "10E932",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC ID",
"identifier": "7566",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.