Active NPI
David Roane, M.D.
- Geriatric Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 175007-1
- Practice address
- 317 E 17TH St
Fierman Hall - 9TH Floor
New York, NY 10003-3804 - Phone
- (212) 420-3480
- Fax
- (212) 420-3442
- NPI assigned
- Nov 16, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 175007-1 | NY | Primary |
Addresses
Primary practice location
317 E 17TH St
Fierman Hall - 9TH Floor
New York, NY 10003-3804
Mailing address
317 E 17TH St
Fierman Hall - 9TH Floor
New York, NY 10003-3804
Phone (212) 420-3480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01206826 | Medicaid | NY |
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
- Psychiatry
- Education
- State University of New York at Stony Brook, School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 E 77TH St
New York, NY 10075-1802
Phone (212) 208-2913
111 E 77TH St
New York, NY 10075-1802
Phone (212) 434-3365
1111 Marcus Ave
New Hyde Park, NY 11042-1034
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175007-1 | NY | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Beth Israel Medical Center Psychiatry & Behavioral Science | Past | Accepting new patients | |
| Kent D Shinbach MD PC | Past | Accepting new patients | |
| Beth Israel Medical Center | Past | Accepting new patients | |
| Jewish Association for Services for the Aged | Past | Accepting new patients |
Locations
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
317 E 17th St
Fl 9
New York, NY 10003
Phone (212) 420-2390
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
10 Nathan D Perlman Pl
#2
New York, NY 10003
Phone (212) 420-2400
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- droane68276@northwell.direct-ci.com
Organizations & group practices 9
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Surgery Physician
- New York, NY
- NPI 1104295716
-
- Internal Medicine Physician
- New York, NY
- NPI 1568868834
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1841669520
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1275624199
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1477582476
-
- Adult Mental Health Clinic/Center
- Bronx, NY
- NPI 1861570517
-
- Legal Medicine
- New York, NY
- NPI 1578521456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205909371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 E 17TH ST",
"address_2": "FIERMAN HALL - 9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033804",
"telephone_number": "212-420-3480",
"fax_number": "212-420-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 E 17TH ST",
"address_2": "FIERMAN HALL - 9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033804",
"telephone_number": "212-420-3480",
"fax_number": "212-420-3442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROANE",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NY",
"license": "175007-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01206826",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.