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NICOLE AMANDA ROMAN MSW
NPI 1003499948
Social Worker in New York, NY

Active since April 29, 2021PECOS Enrolled
169 W 133RD ST, NEW YORK, NY 10030(646) 762-4950 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2026, Dec 8, 2025, Apr 29, 2021 (3 updates tracked since 2021).

About Nicole Amanda Roman Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE AMANDA ROMAN MSW (NPI 1003499948) is an individual social worker in New York, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003499948
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameNICOLE AMANDA ROMANCredential: MSW
Location Address169 W 133RD STNew York, NY 10030-3301
Mailing Address169 W 133rd StNew York, NY 10030-3301 · (201) 253-7725
Phone(646) 762-4950
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 29, 2021
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1003499948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 099280 (NY)
169 W 133RD ST, New York, NY 10030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Amanda Roman Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921587841
PECOS Enrollment IDI20260210002676
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Roman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upper Room Aids Ministry, Inc. Adult Day Health Care Center.
Same address
Clinic/Center
169 W 133RD ST
New York, NY 10030
  • Reassigned Medicare billing, New York enrollment
  • 49 clinicians in this Medicare group
NPI 1417986340 (646) 762-4950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLOS ANTONIO BECERRIL SR. LMSW
Social Worker (Clinical)
169 W 133RD ST
NEW YORK, NY 10030
New York County (212) 849-2780
NEUMA SILLAH MA
Technician, Pathology (Phlebotomy)
169 W 133RD ST
NEW YORK, NY 10030
New York County (646) 762-4950
LAUREN SALOMON
Dentist
169 W 133RD ST
NEW YORK, NY 10030
New York County (212) 849-2780
ALISON BEN-MAYOR
Student in an Organized Health Care Education/Training Program
169 W 133RD ST
NEW YORK, NY 10030
New York County (212) 998-9458
LAURA ALTMAN
Social Worker (Clinical)
169 W 133RD ST
NEW YORK, NY 10030
New York County (646) 762-4950
MR. PRESTON TYLER WHOLLEY LCSW
Social Worker (Clinical)
169 W 133RD ST
NEW YORK, NY 10030
New York County (646) 762-4950
MARYAM ZEHRA NAQVI FNP
Nurse Practitioner (Family)
169 W 133RD ST
NEW YORK, NY 10030
New York County (646) 762-4950
VICTOR AZUBIKE AMOBI CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
169 W 133RD ST
NEW YORK, NY 10030
New York County (646) 762-4950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Roman's NPI number?

The NPI number for Nicole Roman is 1003499948. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Nicole Roman located?

Nicole Roman practices at 169 W 133rd St, New York, NY 10030. The listed phone number is (646) 762-4950.

What is Nicole Roman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Nicole Roman enrolled in Medicare?

Yes. Nicole Roman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Roman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Roman reassigns Medicare benefits to Upper Room Aids Ministry, Inc. Adult Day Health Care Center. (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Roman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Roman was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.