Individual provider Active NPI

Michael Brandon Roemer, PA-C

  • Physician Assistant
  • New Hyde Park, NY
National Provider Identifier
1902430069
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
300 Bryn Mawr Rd
New Hyde Park, NY 11040-3509
Phone
(516) 776-4930
NPI assigned
Feb 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

300 Bryn Mawr Rd
New Hyde Park, NY 11040-3509

Mailing address

300 Bryn Mawr Rd
New Hyde Park, NY 11040-3509
Phone (516) 776-4930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014000954 NY Practitioner - Physician Assistant 3971923830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Central Orthopedic Group L L PGroup PAC ID 3375432362, 23 clinicians

Practice addresses (Care Compare)

5840 Merrick Rd
Massapequa, NY 11758-6225
Phone (516) 681-8822

651 Old Country Rd
Plainview, NY 11803-4938
Phone (516) 681-8822

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Central Orthopedic Group L L P CurrentSince Aug 25, 2020 Accepting new patients
The Central Orthopedic Group L L P Past Accepting new patients

Locations

5840 Merrick Rd
Massapequa, NY 11758
Phone (516) 681-8822

1895 Walt Whitman Rd
Melville, NY 11747
Phone (631) 249-9525

651 Old Country Rd
Plainview, NY 11803
Phone (516) 333-7200

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

77 N Centre Ave
Ste 210
Rockville Centre, NY 11570
Phone (516) 681-8822

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1902430069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BRYN MAWR RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403509",
            "telephone_number": "516-776-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRYN MAWR RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403509",
            "telephone_number": "516-776-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEMER",
        "first_name": "MICHAEL",
        "middle_name": "BRANDON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.