MR. JONATHAN ROMAN NURSE PRACTITIONER NPI 1164896874

NPI Information

NPI: 1164896874
Provider Name: MR. JONATHAN ROMAN, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
10467 44TH AVE APT 2
CORONA, NY
ZIP 11368
Phone: (917) 569-6742
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MR. Jonathan Roman, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Corona, NY. MR. Jonathan Roman, NURSE PRACTITIONER NPI is 1164896874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10467 44TH AVE APT 2
CORONA, NY
ZIP 11368-597
Phone: (917) 569-6742

The enumeration date for this NPI number is 11/18/2015 and was last updated on 11/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		704778-1	NEW YORK	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	F404462-01	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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