Active NPI
Roman Mark Tabakman, MD
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
National Provider Identifier
1891775912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 183984
- Practice address
- 8618 18TH Ave
Brooklyn, NY 11214 - Phone
- (718) 259-2706
- Fax
- (718) 621-9799
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 183984 | NY | Primary |
Addresses
Primary practice location
8618 18TH Ave
Brooklyn, NY 11214
Mailing address
1711 Sheepshead Bay Rd
Brooklyn, NY 11235-3651
Phone (718) 332-8002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1839844 | Other | WORKERS COMP | |
| 01502276 | Medicaid | NY |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183984 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ez Medhealth Care PC | Past | Accepting new patients | |
| Midtown Medical Associates, P.C. | Past | Accepting new patients | |
| Midtown Medical Assoc PC | Past | Accepting new patients | |
| Intermed Care PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Forest Hills, NY
- NPI 1245347301
-
- Legal Medicine
- Brooklyn, NY
- NPI 1144235516
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1699848457
-
- Rehabilitation Chiropractor
- Brooklyn, NY
- NPI 1285714865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1891775912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 SHEEPSHEAD BAY RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353651",
"telephone_number": "718-332-8002",
"fax_number": "718-332-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8618 18TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11214",
"telephone_number": "718-259-2706",
"fax_number": "718-621-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABAKMAN",
"first_name": "ROMAN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "183984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "1839844",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01502276",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.