Active NPI
Nessim Roumi, MD
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1164635017
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Dec 20, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 173-545
- Practice address
- 2522 Ocean Ave
Brooklyn, NY 11229-3916 - Phone
- (718) 934-8182
- Fax
- (718) 934-3111
- NPI assigned
- May 8, 2007
- 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 | 173-545 | NY | Primary |
Addresses
Primary practice location
2522 Ocean Ave
Brooklyn, NY 11229-3916
Mailing address
2522 Ocean Ave
Brooklyn, NY 11229-3916
Phone (718) 934-8182
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008212 | Other | NY | AETNA |
| 3C0273 | Other | NY | PHS |
| 173545A-15 | Other | NY | 1199 |
| P555155 | Other | NY | OXFORD |
| 0012820 | Other | NY | GHI |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173-545 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164635017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2522 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293916",
"telephone_number": "718-934-8182",
"fax_number": "718-934-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2522 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293916",
"telephone_number": "718-934-8182",
"fax_number": "718-934-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUMI",
"first_name": "NESSIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "173-545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0008212",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "3C0273",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199",
"identifier": "173545A-15",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P555155",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0012820",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.