Roumen N Nikolov, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

242207 Issued in NY

Practice address

160 3Rd Ave
Suite 1B
New York, NY 10003-2545

Phone

(212) 673-9679

Fax

(212) 505-0719

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Fang Ophthalmology PC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1154410959
  NPD (past)
• Yale Univ School of Medicine

  • Adolescent and Children Mental Health Clinic/Center
  • New Haven, CT
  • NPI 1871796383
  NPD (past)
• Yale University

  • Diagnostic Radiology Physician
  • New Haven, CT
  • NPI 1114185063
  NPD (past)
• Yale University

  • Pain Medicine (Anesthesiology) Physician
  • New Haven, CT
  • NPI 1265681753
  NPD (past)
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1861568552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 3RD AVE",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032545",
            "telephone_number": "212-673-9679",
            "fax_number": "212-505-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 3RD AVE",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032545",
            "telephone_number": "212-673-9679",
            "fax_number": "212-505-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLOV",
        "first_name": "ROUMEN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "035854",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "242207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolas D Jimenez, DMD, P.C.
• Vesna Nikolic
• Juliana Grace Nikolich, PT, DPT
• Andreas Nikolis, MD, PHD
• Aristidis Nikolitsis, PHARM.D
• Milena Veselinova Nikolova, NP
• Ines Nikolovski, MBBS
• Evgenia Nikolsky, M.D.
• Andrzej Nikonorow, MD
• Magdalena Nikonowicz

• All providers in New York, NY
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.