Andin Kovarik Roeber, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

336390 Issued in NY

Practice address

225 Front St
Binghamton, NY 13905-2474

Phone

(607) 778-3930

Fax

(607) 778-2873

NPI assigned

Oct 21, 2010

Sex

Female

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Broome County

  • Public Health or Welfare Agency
  • Binghamton, NY
  • NPI 1427019629
  Medicare reassignment NPD
• Broome County

  • Skilled Nursing Facility
  • Vestal, NY
  • NPI 1750477923
  NPD

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1225338452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052474",
            "telephone_number": "607-778-3930",
            "fax_number": "607-778-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052474",
            "telephone_number": "607-778-3930",
            "fax_number": "607-778-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVARIK ROEBER",
        "first_name": "ANDIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Marie Kopalek, OTR/L
• Jessica Ann Koscelnak, FNP
• Kristine Koster
• Julie Kotasek
• Linda L Kotasek, BS
• Aida Socie Kradjian, MSW
• Charles Ernest Kramer, L.C.S.W.
• Charlotte Kramer
• Adam R Krantweiss, PH.D.
• Kelly Marie Kraus, FNP-C

• Family Nurse Practitioner in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.