Roman Isaac, MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

275010-1 Issued in NY

Legal business name

ROMAN ISAAC, MD

Practice address

205 E 64TH St
Suite 402
New York, NY 10065-6635

Phone

(212) 759-4553

Fax

(212) 759-1353

NPI assigned

Jul 30, 2014

Organization subpart

No

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

Authorized official

Name

Eudell Hayes

Title

Credentialing

Phone

(212) 759-4553

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1316355779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 64TH ST",
            "address_2": "SUITE 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656635",
            "telephone_number": "212-759-4553",
            "fax_number": "212-759-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 64TH ST",
            "address_2": "SUITE 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656635",
            "telephone_number": "212-759-4553",
            "fax_number": "212-759-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN ISAAC, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "EUDELL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "212-759-4553"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "275010-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario F Romagnoli, M.D.
• Nicholas J Romagnoli, MD
• Alexander Romaine
• Laura Romaine
• Yenifer Roman B., RN
• Roman Trakhtenberg DDS PLLC
• Blanca Roman-Morales
• Benjamin Raphael Roman, MD
• Camille Phyllis Roman, MSW
• Cheryl Roman

• Medical Specialty Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.