Maria Romanenko, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

230857 Issued in NY

Practice address

1704 Avenue M
Brooklyn, NY 11230-5349

Phone

(718) 339-6753

Fax

(718) 339-8567

NPI assigned

Mar 20, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1366401234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305349",
            "telephone_number": "718-339-6753",
            "fax_number": "718-339-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305349",
            "telephone_number": "718-339-6753",
            "fax_number": "718-339-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANENKO",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "230857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "7020742",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02644535",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Roman
• William N. Roman, MD
• Solomon Romand
• John Romanelli, M.D.
• Michelle Romanelli, MD
• Maria A Romani de Goes, LCAT
• Kateryna Romanko, RN
• Denise Romano-Angilletta, MSED
• Caitlyn Frances Romano, M.A.
• Constance Anne Romano, D.P.M.

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.