Organization Active NPI

Rolando R Roman MD PC

  • Primary Care Clinic/Center
  • Jamaica, NY
National Provider Identifier
1831575281
Registry record updated Aug 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
396583-1 Issued in NY
Legal business name
ROLANDO R ROMAN MD PC
Practice address
8854 180TH St
Jamaica, NY 11432-4738
Phone
(718) 657-8306
Fax
(718) 657-1464
NPI assigned
Aug 8, 2015
Organization subpart
Yes
Parent organization
ROLANDORROMANMDPCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2015

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

Authorized official

Name
Dr. Rolando Ronquillo Roman, MDNPI 1659345049
Title
Vice President
Phone
(718) 657-8306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 396583-1 NY Primary

Addresses

Primary practice location

8854 180TH St
Jamaica, NY 11432-4738

Mailing address

8854 180TH St
Jamaica, NY 11432-4738
Phone (718) 657-8306

National Provider Directory

National Provider Directory
Part of
Rolando Rroman MDPC

Locations

8854 180th St
Jamaica, NY 11432
Phone (718) 657-8306

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438992000000",
    "number": "1831575281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8854 180TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324738",
            "telephone_number": "718-657-8306",
            "fax_number": "718-657-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8854 180TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324738",
            "telephone_number": "718-657-8306",
            "fax_number": "718-657-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLANDO R ROMAN MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROLANDORROMANMDPC",
        "enumeration_date": "2015-08-08",
        "last_updated": "2015-08-08",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "RONQUILLO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-657-8306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "396583-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2015; 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.