Amanda Maria Roman

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

120 N Main St Ste 303
New City, NY 10956-3743

Phone

(845) 634-6677

NPI assigned

May 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Community Awareness Network for a Drugfree Life and Environment Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New City, NY
  • NPI 1356074447
  NPD

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1730929506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N CENTRAL HWY",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST STE 303",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563743",
            "telephone_number": "845-634-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "AMANDA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Antonio Rodriguez, DC
• Ileana Rodriguez, PHD
• Lisette Rodriguez
• Patricia A. Rogers, LCSW
• Jenna Marie Rogoff, OTR/L
• Izabela Roman, PT
• Angie Noelia Romero, PMHNP-BC
• Sharon Ronan, M.D.
• Maskit Ronen, LMFT
• Roy Lewis Root, PHARM D

• Social Worker in New City, NY
• Providers in New City, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.