Individual provider Active NPI

Howard M Rombom, PHD

  • Psychologist
  • Great Neck, NY
National Provider Identifier
1639298599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6085 Issued in NY
Practice address
310 E Shore Rd
Suite 100
Great Neck, NY 11023-2432
Phone
(516) 466-7077
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6085 NY Primary

Addresses

Primary practice location

310 E Shore Rd
Suite 100
Great Neck, NY 11023-2432

Mailing address

310 E Shore Rd
Suite 100
Great Neck, NY 11023-2432
Phone (516) 466-7077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
006085NYMDMental Health Counselor
6085NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nurse Practitioner Psychiatry & Psychology Services, PLLC Current Accepting new patients

Locations

310 E Shore Rd
Ste 100
Great Neck, NY 11023
Phone (516) 466-0444

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639298599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "address_2": "SUITE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-466-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "address_2": "SUITE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-466-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMBOM",
        "first_name": "HOWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "6085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.