Active NPI
Roomana Qayyum, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1639455512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 279679
- Practice address
- 1090 Amsterdam Avenue
16 A
New York, NY 10025 - Phone
- (212) 523-5089
- Fax
- (212) 523-1685
- NPI assigned
- Oct 24, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 279679 | NY | Primary |
Addresses
Primary practice location
1090 Amsterdam Avenue
16 A
New York, NY 10025
Mailing address
201 East 87TH Street
Apt 12 L
New York, NY 10128
Phone (347) 441-8202
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 Medicine
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1639455512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 EAST 87TH STREET",
"address_2": "APT 12 L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128",
"telephone_number": "347-441-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 AMSTERDAM AVENUE",
"address_2": "16 A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-523-5089",
"fax_number": "212-523-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QAYYUM",
"first_name": "ROOMANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "279679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.