Organization Active NPI

Nika Medical, P.C.

  • Primary Care Clinic/Center
  • Staten Island, NY
National Provider Identifier
1972632420
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
240566 Issued in NY
Legal business name
NIKA MEDICAL, P.C.
Practice address
55 Midland Ave
Staten Island, NY 10306-2427
Phone
(718) 667-7778
Fax
(718) 317-7014
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Ms. Veronika Romashova, M.D.NPI 1720004443
Title
President
Phone
(917) 836-5296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 240566 NY Primary

Addresses

Primary practice location

55 Midland Ave
Staten Island, NY 10306-2427

Mailing address

55 Midland Ave
Staten Island, NY 10306-2427
Phone (718) 667-7778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070521000594 NY Part B Supplier - Clinic/Group Practice 6709983075 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1076601Nika Medical55 Midland Avenue, Staten Island, NY 10306Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEHEAA

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1972632420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MIDLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062427",
            "telephone_number": "718-667-7778",
            "fax_number": "718-317-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MIDLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062427",
            "telephone_number": "718-667-7778",
            "fax_number": "718-317-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKA MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "ROMASHOVA",
        "authorized_official_first_name": "VERONIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "19178365296",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "240566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.