Dr. Roman N Kosiborod, DO
Specialist in Fair Lawn, New Jersey
1831192079- Practice location
- 39-40 Broadway Ste 1, Fair Lawn, NJ 07410
- Phone
- 201-509-8998
- Fax
- 973-246-7120
- Last updated
- April 17, 2019
Roman N Kosiborod is a Specialist based in Fair Lawn, NJ. Roman N Kosiborod practices in Fair Lawn, NJ and has the professional credentials of DO. The NPI Number for Roman N Kosiborod is 1831192079 and holds a License No. 25MB07566200 (NJ). The current practice location address for Roman N Kosiborod is 39-40 Broadway Ste 1, Fair Lawn, NJ 07410 and can be reached out via phone at 201-509-8998 and via fax at 973-246-7120.
Provider Profile Details
- NPI Number
- 1831192079
- Provider Name
- Roman N Kosiborod
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 39-40 Broadway Ste 1, Fair Lawn, NJ 07410
- Phone Number
- 201-509-8998
- Fax Number
- 973-246-7120
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 23, 2005
- Last Update Date
- April 17, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39-40 Broadway Ste 1
Fair Lawn, NJ 07410 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410
- Phone Number
- 201-509-8998
- Fax Number
- 973-246-7120
Provider Business Mailing Address Details
- Address
- 387 Vance Ave
Franklin Lakes, NJ 07417-3016 - City
- Franklin Lakes
- State
- NJ
- Zip
- 07417-3016
- Phone Number
- 201-982-4706
- Fax Number
- 973-246-7120
License Information
- License Number
- 25MB07566200
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Roman N Kosiborod, DO?
The NPI number of Dr. Roman N Kosiborod, DO is 1831192079. It was assigned on May 23, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Roman N Kosiborod, DO?
Dr. Roman N Kosiborod, DO is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MB07566200.
Where does Dr. Roman N Kosiborod, DO practice?
The practice location is 39-40 Broadway Ste 1, Fair Lawn, NJ 07410. The office can be reached at 201-509-8998 (phone) or 973-246-7120 (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 1831192079 directly on the NPPES registry website.