Rolando R.Roman MDPC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

185214 Issued in NY

Legal business name

ROLANDO R.ROMAN MDPC

Practice address

8854 180TH St
Jamaica, NY 11432-4738

Phone

(718) 657-8306

NPI assigned

Feb 9, 2011

Organization subpart

No

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

Authorized official

Name

Rolando Ronquillo Roman, MDNPI 1659345049

Title

President

Phone

(718) 657-8306

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Rolando R Roman, MD

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1659345049
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1891091757",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLANDO R.ROMAN MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "RONQUILLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-657-8306",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "185214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01427090",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clairtida Roger
• Dorinda J Rogers Madera, LMHC
• Amanda Rogers
• Crystal L Rogers, ANP/GNP
• Rolando R Roman MD PC
• Barbarah Cecibel Roldan, CASAC-T 41264
• Leslie Ann Rolle
• Nicola Rollins
• Amarilis Roman, PA-C
• Brigette Roman, OD

• Primary Care Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.