Gladys Neida Roman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R047308 Issued in NY

Practice address

6515 Alderton St Apt 4F
Rego Park, NY 11374-5001

Phone

(718) 896-7111

Fax

(718) 896-7111

NPI assigned

Oct 28, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1235382797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 ALDERTON ST APT 4F",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745001",
            "telephone_number": "718-896-7111",
            "fax_number": "718-896-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 ALDERTON ST APT 4F",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745001",
            "telephone_number": "718-896-7111",
            "fax_number": "718-896-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "GLADYS",
        "middle_name": "NEIDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R047308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shuang Rodriguez
• Reia Rodwell
• Monica Mary Rogan, FNP-BC
• Roma Rajs Physician PC
• Roman NP in Family Health PLLC
• Leydi Viviana Roman, COTA
• Wallace Romero, CASAC
• Panus Romsaitong, MD
• Nicole Rose
• Alan Jeffrey Rosen, DC

• Clinical Social Worker in Rego Park, NY
• Providers in Rego Park, 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 Oct 28, 2008; 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.