Active NPIIndividual providerSole proprietor

Edwin R Roman, DPM

Podiatrist, Foot & Ankle Surgery in Elizabeth, New Jersey

NPI Number1407871700
Practice location
430 Morris Ave, Elizabeth, NJ 07208-3609
Fax
908-352-7900
Last updated
June 14, 2023

Edwin R Roman is a Podiatrist, Foot & Ankle Surgery based in Elizabeth, NJ. Edwin R Roman practices in Elizabeth, NJ and has the professional credentials of DPM. The NPI Number for Edwin R Roman is 1407871700 and holds a License No. 25MD00283800 (NJ). The current practice location address for Edwin R Roman is 430 Morris Ave, Elizabeth, NJ 07208-3609 and can be reached out via phone at 908-352-1400 and via fax at 908-352-7900.

Provider Profile Details

NPI Number
1407871700
Provider Name
Edwin R Roman
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
430 Morris Ave, Elizabeth, NJ 07208-3609
Phone Number
908-352-1400
Fax Number
908-352-7900
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
July 13, 2006
Last Update Date
June 14, 2023
Certification Date
June 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
430 Morris Ave
Elizabeth, NJ 07208-3609
Zip
07208-3609
Phone Number
908-352-1400
Fax Number
908-352-7900
Elizabeth, NJ 07208Get directions →

Provider Business Mailing Address Details

Address
Po Box 493
Elizabeth, NJ 07207-0493
City
Elizabeth
State
NJ
Zip
07207-0493
Phone Number
908-352-1400
Fax Number
908-352-7900

License Information

License Number
25MD00283800
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edwin R Roman, DPM?

The NPI number of Edwin R Roman, DPM is 1407871700. It was assigned on July 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Edwin R Roman, DPM?

Edwin R Roman, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00283800.

Where does Edwin R Roman, DPM practice?

The practice location is 430 Morris Ave, Elizabeth, NJ 07208-3609. The office can be reached at 908-352-1400 (phone) or 908-352-7900 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407871700 directly on the NPPES registry website.

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