Individual provider Active NPI

Lauren Suzanne Roman, MD

  • Family Medicine Physician
  • Monticello, NY
National Provider Identifier
1194927012
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
260700 Issued in NY
Practice address
38 Concord Rd
Monticello, NY 12701
Phone
(845) 333-6500
Fax
(845) 333-6501
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 260700 NY Primary

Addresses

Primary practice location

38 Concord Rd
Monticello, NY 12701

Mailing address

38 Concord Rd
Monticello, NY 12701-3210
Phone (845) 333-6500

Other practice location 1

36 Pearl St
Livingston Manor, NY 12758-5148
Phone (845) 439-3579

Other practice location 2

36 Pearl St
Livingston Manor, NY 12758-5148
Phone (845) 439-3579

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

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1194927012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CONCORD RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013210",
            "telephone_number": "845-333-6500",
            "fax_number": "845-333-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CONCORD RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12701",
            "telephone_number": "845-333-6500",
            "fax_number": "845-333-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Livingston Manor",
            "state": "NY",
            "postal_code": "127585148",
            "country_code": "US",
            "telephone_number": "845-439-3579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Livingston Manor",
            "state": "NY",
            "postal_code": "127585148",
            "country_code": "US",
            "telephone_number": "845-439-3579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "LAUREN",
        "middle_name": "SUZANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "260700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.