Active NPI
David Roemer, M.D.
- Psychiatry Physician
- Clifton Springs, NY
National Provider Identifier
1982035259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 203954
- Practice address
- 28 E Main Street
Clifton Springs, NY 14432 - Phone
- (315) 462-9466
- NPI assigned
- Dec 11, 2013
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 203954 | NY | Primary |
Addresses
Primary practice location
28 E Main Street
Clifton Springs, NY 14432
Mailing address
962 State Route 203
Chatham, NY 12037-2918
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203954 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1982035259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "962 STATE ROUTE 203",
"city": "CHATHAM",
"state": "NY",
"postal_code": "120372918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 E MAIN STREET",
"city": "CLIFTON SPRINGS",
"state": "NY",
"postal_code": "14432",
"telephone_number": "315-462-9466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEMER",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-11",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "203954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.