SAN ROMAN FERTILITY MEDICINE, P.C.
NPI 1144189176
Clinic/Center in Port Jefferson Station, NY
- Organization
- Clinic/Center
About SAN ROMAN FERTILITY MEDICINE, P.C.
This page provides the complete NPI Profile along with additional information for San Roman Fertility Medicine, P.c., a provider established in Port Jefferson Station, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1144189176 assigned on January 2026. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Gabriel San Roman (Owner)
- NPI
- 1144189176 Verify this NPI
- Provider Name
- SAN ROMAN FERTILITY MEDICINE, P.C.
- Entity Type
- Organization
- Location Address
- 5225 RTE 347 STE 43 PORT JEFFERSON STATION, NY 11776
- Location Phone
- (631) 500-2626
- Location Fax
- (631) 516-3647
- Mailing Address
- 5225 RTE 347 STE 43 PORT JEFFERSON STATION, NY 11776
- Mailing Phone
- (631) 500-2626
- Mailing Fax
- (631) 516-3647
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2026
- Last Update Date
- 01-16-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PORT JEFFERSON STATION, NY 11776
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144189176, enumerated as an "organization" on January 16, 2026.
The provider is located at 5225 RTE 347 STE 43 PORT JEFFERSON STATION, NY 11776 and the phone number is (631) 500-2626.
Clinic/Center with taxonomy code 261Q00000X.
