Individual provider Active NPI

Roman Fulman, M.D.

  • Anesthesiology Physician
  • Suffern, NY
National Provider Identifier
1740487180
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
253931 Issued in NY
Practice address
255 Lafayette Ave
Suffern, NY 10901-4812
Phone
(845) 368-5039
Fax
(845) 357-5777
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 253931 NY Primary
Anesthesiology Physician 207L00000X 25MA08814600 NJ

Addresses

Primary practice location

255 Lafayette Ave
Suffern, NY 10901-4812

Mailing address

100 Route 59
Suite 105
Suffern, NY 10901-4927
Phone (845) 357-5775

Other identifiers 3

IdentifierTypeStateIssuer
1026462960001MedicaidPA
03264362MedicaidNY
0296074MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101214000019 NY Practitioner - Anesthesiology 1658568860 Reassigns benefits to 1 organization
I20110826000463 NJ Practitioner - Anesthesiology 1658568860

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

68 Harris Bushville Rd
Monticello, NY 12701-3027
Phone (845) 357-5775

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Bon Secours Community Hospital Hospital, Port Jervis, NY, CCN 330135
  • Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386
  • Helen Hayes Hospital Hospital, West Haverstraw, NY, CCN 330405

Merit-based Incentive Payment System (MIPS)

Final score
52.31 of 100Reported as individual
Quality
46.59
Improvement activities
0
Cost
64.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08814600NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramapo Anesthesiologists, PC Anesthesiology CurrentSince Aug 22, 2010 Accepting new patients
Dreamscapes Anesthesia LLC Anesthesiology Current Accepting new patients
Gastrointestinal Care of Long Island PLLC CurrentSince Mar 10, 2025 Accepting new patients

Locations

68 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 897-6053

873 Route 45
Ste 104
New City, NY 10956
Phone (845) 362-1081

500 New Hempstead Rd
Ste A
New City, NY 10956
Phone (845) 362-3200

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

100 Route 59
Ste 105
Suffern, NY 10901
Phone (845) 357-5745

100 Route 59
Ste 111
Suffern, NY 10901
Phone (845) 369-9701

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1740487180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59",
            "address_2": "SUITE 105",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927",
            "telephone_number": "845-357-5775",
            "fax_number": "845-357-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014812",
            "telephone_number": "845-368-5039",
            "fax_number": "845-357-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMAN",
        "first_name": "ROMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "253931",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08814600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026462960001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03264362",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0296074",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.