Individual provider Active NPI

Roman Offengeym

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1952793044
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
7736027 Issued in NY
Practice address
1711 Kings Hwy Ste 2
Brooklyn, NY 11229-1232
Phone
(929) 333-9686
Fax
(929) 333-9684
NPI assigned
Feb 26, 2015
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 7736027 NY Primary

Addresses

Primary practice location

1711 Kings Hwy Ste 2
Brooklyn, NY 11229-1232

Mailing address

1711 Kings Hwy Ste 2
Brooklyn, NY 11229-1232
Phone (929) 333-9686

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

State licenses

LicenseStateTypeSpecialty
7736027NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
SRG Health LLC Current Accepting new patients
Paramount Home Care Agency Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1952793044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 KINGS HWY STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291232",
            "telephone_number": "929-333-9686",
            "fax_number": "929-333-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 KINGS HWY STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291232",
            "telephone_number": "929-333-9686",
            "fax_number": "929-333-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFENGEYM",
        "first_name": "ROMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "7736027",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 6, 2026; 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.