Individual provider Active NPI

Brigette Roman, OD

  • Optometrist
  • Jamaica, NY
National Provider Identifier
1659004505
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009568 Issued in NY
Practice address
17900 Linden Blvd
Jamaica, NY 11425-0001
Phone
(718) 526-1000
NPI assigned
Jul 7, 2022
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009568 NY Primary

Addresses

Primary practice location

17900 Linden Blvd
Jamaica, NY 11425-0001

Mailing address

17900 Linden Blvd
Jamaica, NY 11425-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711001417 NY Practitioner - Optometry 2668831462 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph's Medical Practice PC Optometrist CurrentSince Mar 1, 2025 Accepting new patients

Locations

3050 Corlear Ave
Ste 201
Bronx, NY 10463
Phone (718) 543-2700

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

157 Lockwood Ave
Yonkers, NY 10701
Phone (914) 476-5496

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJJACA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1659004505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 LINDEN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114250001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 LINDEN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114250001",
            "telephone_number": "718-526-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "BRIGETTE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.