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MR. JONATHAN ROMAN NURSE PRACTITIONER
NPI 1164896874
Nurse Practitioner - Psychiatric/Mental Health in Corona, NY

Active since November 18, 2015PECOS EnrolledAccepts Medicare Assignment
10467 44TH AVE APT 2, CORONA, NY 11368(917) 569-6742 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2022, Nov 18, 2015 (2 updates tracked since 2015).

About Mr. Jonathan Roman Nurse Practitioner NPPES

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

MR. JONATHAN ROMAN NURSE PRACTITIONER (NPI 1164896874) is an individual psychiatric/mental health provider in Corona, New York, licensed in New York (F404462-01) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1164896874
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JONATHAN ROMANCredential: NURSE PRACTITIONER
Location Address10467 44TH AVE APT 2Corona, NY 11368-2597
Mailing Address10467 44th Ave Apt 2Corona, NY 11368-2597 · (917) 569-6742
Phone(917) 569-6742
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 18, 2015
Last NPPES UpdateNovember 21, 20222 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1164896874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F404462-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 704778-1 (NY)
10467 44TH AVE APT 2, Corona, NY 11368
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jonathan Roman Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133660145
PECOS Enrollment IDI20240918000987
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jonathan Roman's NPI number?

The NPI number for Jonathan Roman is 1164896874. It was assigned to this individual provider in the NPPES registry on November 18, 2015.

Where is Jonathan Roman located?

Jonathan Roman practices at 10467 44th Ave Apt 2, Corona, NY 11368. The listed phone number is (917) 569-6742.

What is Jonathan Roman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jonathan Roman enrolled in Medicare?

Yes. Jonathan Roman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Roman was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.