Octavio Roman, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R028922 Issued in NY

Practice address

333 Atlantic Ave
Brooklyn, NY 11201-5803

Phone

(718) 522-6011

Fax

(718) 522-1560

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Vincent'S Services IncGroup PAC ID 7012808793, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: octavio.roman.p1@direct.heartshare.nextgenshare.com

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.

• St. Vincent'S Services, Inc.

  • Foster Care Agency
  • Brooklyn, NY
  • NPI 1003015694
  Medicare reassignment Care Compare group
• St. Vincent'S Mental Health Services

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1235359662
  NPD (past)
• St. Vincent'S Services

  • Foster Care Agency
  • Brooklyn, NY
  • NPI 1972828135
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215055512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ASPEN KNOLLS WAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126632",
            "telephone_number": "718-967-2317",
            "fax_number": "718-522-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015803",
            "telephone_number": "718-522-6011",
            "fax_number": "718-522-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "OCTAVIO",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R028922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Roman, PT, DPT
• Daniel R Roman
• David Roman, R.P.A
• Jessica Roman, MHC-LP
• Karen Roman
• Shoshana Roman, RN
• Toni Roman
• William N. Roman, MD
• Solomon Romand
• John Romanelli, M.D.

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• 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; 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.

Verify at the official NPI Registry.