Active NPI
Karl Roman
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pompton Lakes, NJ
National Provider Identifier
1942977830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KARL ROMAN
- Practice address
- 23 Colfax Ave
Pompton Lakes, NJ 07442-1709 - Phone
- (973) 858-8161
- NPI assigned
- Aug 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karl D Roman, MSW,LCSW,SAP
- Title
- President
- Phone
- (973) 800-0864
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
23 Colfax Ave
Pompton Lakes, NJ 07442-1709
Mailing address
PO Box 493
Pompton Lakes, NJ 07442-0493
Phone (973) 800-0864
National Provider Directory
National Provider Directory- Tax ID family
- Karl Roman
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Pompton Lakes, NJ
- NPI 1114694007
-
- Clinical Social Worker
- Pompton Lakes, NJ
- NPI 1528735412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630022400000",
"number": "1942977830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 493",
"city": "POMPTON LAKES",
"state": "NJ",
"postal_code": "074420493",
"telephone_number": "973-800-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 COLFAX AVE",
"city": "POMPTON LAKES",
"state": "NJ",
"postal_code": "074421709",
"telephone_number": "973-858-8161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KARL ROMAN",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-27",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A",
"authorized_official_last_name": "ROMAN",
"authorized_official_first_name": "KARL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-800-0864",
"authorized_official_credential": "MSW,LCSW,SAP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompton Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.