Individual provider Active NPI

Elizabeth Roman

  • Pediatric Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1194791814
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
216685 Issued in NY
Practice address
160 E 32ND St
2ND Floor
New York, NY 10016-6004
Phone
(212) 263-9912
Fax
(212) 263-9978
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 216685 NY Primary

Addresses

Primary practice location

160 E 32ND St
2ND Floor
New York, NY 10016-6004

Mailing address

160 E 32ND St
2ND Floor
New York, NY 10016-6004
Phone (212) 263-9912

Other identifiers 1

IdentifierTypeStateIssuer
02711080MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000036 NY Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 9335169689 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Pediatric Hematology-Oncology CurrentSince Jan 3, 2011 Accepting new patients
New York University Current Accepting new patients
New York University CurrentSince Jan 3, 2011 Accepting new patients
NYU Langone Hospitals Past Accepting new patients
Trustees of Columbia University in the City of New York Pediatric Hematology-Oncology Past Accepting new patients

Locations

160 E 32nd St
#2
New York, NY 10016
Phone (212) 263-5940

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

160 E 32nd St
Fl 3
New York, NY 10016
Phone (212) 263-5940

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: eroman563327@nychhc.direct-ci.com
  • Direct secure messaging: eroman36035@nyumc.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1194791814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 32ND ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166004",
            "telephone_number": "212-263-9912",
            "fax_number": "212-263-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 32ND ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166004",
            "telephone_number": "212-263-9912",
            "fax_number": "212-263-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "216685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02711080",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.