Individual provider Active NPI

Diane Marian Roma, MSW, DSW

  • Clinical Social Worker
  • Woodside, NY
National Provider Identifier
1699812339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R15792 Issued in NY
Practice address
6714 41St Ave
Woodside, NY 11377-3790
Phone
(718) 458-4243
Fax
(718) 458-4481
NPI assigned
Jan 31, 2007
Sex
Female
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
Clinical Social Worker 1041C0700X R15792 NY Primary

Addresses

Primary practice location

6714 41St Ave
Woodside, NY 11377-3790

Mailing address

6051 Fieldston Rd
Bronx, NY 10471-1803
Phone (718) 601-0728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R15792NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699812339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 FIELDSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711803",
            "telephone_number": "718-601-0728",
            "fax_number": "718-458-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 41ST AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773790",
            "telephone_number": "718-458-4243",
            "fax_number": "718-458-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMA",
        "first_name": "DIANE",
        "middle_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "MSW, DSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R15792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.