Individual provider Active NPI

Olga Stephanie Roman

  • Medical Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1699431155
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9115289 Issued in FL
Practice address
3346 Griffin Rd
Ft Lauderdale, FL 33312-5519
Phone
(954) 361-8239
NPI assigned
Nov 9, 2021
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60338 CA
Medical Physician Assistant 363AM0700X PA9115289 FL Primary

Addresses

Primary practice location

3346 Griffin Rd
Ft Lauderdale, FL 33312-5519

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (888) 663-6331

Other practice location 1

2 Embarcadero Ctr
San Francisco, CA 94111-3823
Phone (888) 663-6331

Other practice location 2

5301 N Federal Hwy Ste 165
Boca Raton, FL 33487-4914
Phone (561) 705-1389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251011000474 FL Practitioner - Physician Assistant 1052808359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Miami Medical College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Medical Center IncGroup PAC ID 2365521788, 10 clinicians

Practice addresses (Care Compare)

6931 W Broward Blvd
Plantation, FL 33317-2902
Phone (954) 321-5191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA60338CAMDPhysician Assistant
PA9115289FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Evaluation Testing of Florida, Inc CurrentSince May 29, 2022 Accepting new patients
Urgent Medical Center Inc CurrentSince Aug 4, 2025 Accepting new patients
Chiro Worx Injury Center Inc CurrentSince Aug 4, 2025 Accepting new patients

Locations

5301 N Federal Hwy
Ste 165
Boca Raton, FL 33487
Phone (561) 705-1389

6931 W Broward Blvd
Plantation, FL 33317
Phone (954) 321-5191

Organizations & group practices 3

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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1699431155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "888-663-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3346 GRIFFIN RD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125519",
            "telephone_number": "954-361-8239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Embarcadero Ctr",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941113823",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 N Federal Hwy Ste 165",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334874914",
            "country_code": "US",
            "telephone_number": "561-705-1389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "OLGA",
        "middle_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60338",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9115289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.