Individual provider Active NPI

Vivian Edith Roston, M.D.

  • Obstetrics & Gynecology Physician
  • Astoria, NY
National Provider Identifier
1992706493
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
187570-1 Issued in NY
Practice address
3175 23Rd St
Astoria, NY 11106-4134
Phone
(646) 680-4227
Fax
(718) 956-2261
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 187570-1 NY Primary

Addresses

Primary practice location

3175 23Rd St
Astoria, NY 11106-4134

Mailing address

3175 23Rd St
Astoria, NY 11106-4134
Phone (646) 680-4227

Other identifiers 1

IdentifierTypeStateIssuer
01502854MedicaidNY

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

LicenseStateTypeSpecialty
187570-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Roosevelt Hospital Center Obstetrics & Gynecology Past Accepting new patients
St Lukes Roosevelt Community Care Obstetrics & Gynecology Past Accepting new patients

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1992706493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 23RD ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064134",
            "telephone_number": "646-680-4227",
            "fax_number": "718-956-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 23RD ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064134",
            "telephone_number": "646-680-4227",
            "fax_number": "718-956-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTON",
        "first_name": "VIVIAN",
        "middle_name": "EDITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "187570-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01502854",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.