Igor Romanov Nurse Practitioner in Family Health PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

IGOR ROMANOV NURSE PRACTITIONER IN FAMILY HEALTH PC

Practice address

380 Henry St
Brooklyn, NY 11201-6048

Phone

(718) 855-6789

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Igor Romanov, NPNPI 1457565269

Title

President

Phone

(718) 855-6789

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Igor Romanov, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1457565269
  Medicare reassignment Authorized official
• Oxana Romanov, NP

  • Adult Health Nurse Practitioner
  • New York, NY
  • NPI 1063983526
  Medicare reassignment

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1255700548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HASTINGS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353017",
            "telephone_number": "347-733-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HENRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016048",
            "telephone_number": "718-855-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR ROMANOV NURSE PRACTITIONER IN FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "ROMANOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-855-6789",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Igor Dental Services PC
• Igor Grosman DO PC
• Igor Homecare Inc
• Igor Klebanov DDS PC
• Igor Maganov Medical PC
• Igor Sergeyev, M.D., P.C.
• Noah Max Igra, MD
• El-Maboussout Igue
• Godson C Igwe, DNP
• Ezinne Igwegbe, PHARMD

• Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.