Nicholas P. Roussis, M.D., P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

231555 Issued in NY

Legal business name

NICHOLAS P. ROUSSIS, M.D., P.C.

Practice address

9920 4TH Ave
Suite 303
Brooklyn, NY 11209-8333

Phone

(718) 921-1100

Fax

(718) 921-7100

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas P. Roussis, M.D.

Title

Authorized Official

Phone

(718) 921-1100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467590455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126313",
            "telephone_number": "718-921-1100",
            "fax_number": "718-921-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SUITE 303",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-921-1100",
            "fax_number": "718-921-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS P. ROUSSIS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROUSSIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-921-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "231555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicola Niceforo, RPH
• Kelly Niceley
• Rhea Anil Nichani
• Nicholas Ave Pharmacy Inc
• Janelle Nicholas Forestine, SOLE PROPRIETOR
• Nicholas V Tornatore Mental Health Counselor PC
• Hilari Nicholas-Simon
• Celine Nicholas
• Evangelia K Nicholas, MD
• Katherine Nicholas

• Obstetrics & Gynecology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.