Active NPI
Nancy Jean Roizen, M.D.
- Developmental - Behavioral Pediatrics Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 35-086672
- Practice address
- 10524 Euclid Ave
Cleveland, OH 44106-2205 - Phone
- (216) 844-3230
- Fax
- (216) 201-5188
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 35086672 | OH | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 35-086672 | OH | Primary |
Addresses
Primary practice location
10524 Euclid Ave
Cleveland, OH 44106-2205
Mailing address
24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714
Phone (216) 844-3230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001919700005 | Medicaid | PA | |
| 2629687 | Medicaid | OH |
Other names 1
- Nancy J. Mrazek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-086672 | OH | MD | Developmental - Behavioral Pediatrics Physician |
| 35086672 | OH | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | Accepting new patients |
Locations
11100 Euclid Ave
Ste 1200
Cleveland, OH 44106
Phone (216) 844-3080
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
10524 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-3881
11100 Euclid Ave
Cleveland Heights, OH 44106
24701 Euclid Ave
Fl 3
Euclid, OH 44117
Phone (216) 383-6950
Interoperability endpoints
- nroizen36312@ehrdirect.uhhospitals.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1477517480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"address_2": "3RD FLOOR",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714",
"telephone_number": "216-844-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10524 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441062205",
"telephone_number": "216-844-3230",
"fax_number": "216-201-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROIZEN",
"first_name": "NANCY",
"middle_name": "JEAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "OH",
"license": "35086672",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "OH",
"license": "35-086672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001919700005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2629687",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "MRAZEK",
"middle_name": "J.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.