Active NPI
Evaristo Roman, AA IN HUMAN SERVICES
- Counselor
- Bronx, NY
National Provider Identifier
1194876169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 754 E 151St St
Bronx, NY 10455-3267 - Phone
- (718) 401-5432
- Fax
- (718) 993-4395
- NPI assigned
- Jan 16, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
754 E 151St St
Bronx, NY 10455-3267
Mailing address
600 Concord Ave Apt 6a
Bronx, NY 10455-3145
Phone (917) 371-3428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10898 | Other | NY | OASAS |
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
- Credentials
- Associate of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194876169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CONCORD AVE APT 6A",
"city": "BRONX",
"state": "NY",
"postal_code": "104553145",
"telephone_number": "917-371-3428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 E 151ST ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104553267",
"telephone_number": "718-401-5432",
"fax_number": "718-993-4395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "EVARISTO",
"credential": "AA IN HUMAN SERVICES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OASAS",
"identifier": "10898",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.