Individual provider Active NPI

Stefanie Roman, MS OTR/L

  • Contractor
  • Oakland Gardens, NY
National Provider Identifier
1841432424
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
13127 Issued in NY
Practice address
22421 Kingsbury Ave
Apt B
Oakland Gardens, NY 11364-3626
Phone
(917) 270-5501
NPI assigned
Mar 30, 2009
Last updated
Mar 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 13127 NY Primary

Addresses

Primary practice location

22421 Kingsbury Ave
Apt B
Oakland Gardens, NY 11364-3626

Mailing address

22421 Kingsbury Ave
Apt B
Oakland Gardens, NY 11364-3626
Phone (917) 270-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13127NYMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1841432424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22421 KINGSBURY AVE",
            "address_2": "APT B",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643626",
            "telephone_number": "917-270-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22421 KINGSBURY AVE",
            "address_2": "APT B",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643626",
            "telephone_number": "917-270-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "STEFANIE",
        "name_prefix": "Miss",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "13127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.