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DR. ROMAN N KOSIBOROD D.O.
NPI 1831192079
Specialist in Fair Lawn, NJ

Active since May 23, 2005PECOS Enrolled
100/100
CMS Quality Rating
39-40 BROADWAY STE 1, FAIR LAWN, NJ 07410(201) 509-8998(973) 246-7120 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Roman N Kosiborod D.o. NPPES

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

DR. ROMAN N KOSIBOROD D.O. (NPI 1831192079) is an individual specialist in Fair Lawn, New Jersey, licensed in New Jersey (25MB07566200) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hackensack, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1831192079
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ROMAN N KOSIBORODCredential: D.O.
Location Address39-40 BROADWAY STE 1Fair Lawn, NJ 07410
Mailing Address387 Vance AveFranklin Lakes, NJ 07417-3016 · (201) 982-4706 · Fax (973) 246-7120
Phone(201) 509-8998
Fax(973) 246-7120
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 23, 2005
Last NPPES UpdateApril 17, 2019
✔ NPI 1831192079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MB07566200
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
39-40 BROADWAY STE 1, Fair Lawn, NJ 07410
Open in Google Maps ↗

Secondary Practice Location 1

Location 1429 Crestwood AveHackensack, NJ 07601-1444 · Phone (201) 342-5057

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roman N Kosiborod D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991798118
PECOS Enrollment IDI20040405001075
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 Reassignments

4

Medicare enrollment records show Roman Kosiborod reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Comprehensive Pain Medicine And Anesthesia Group, PC
2.0 mi
Specialist
480 MARKET STREET, SUITE 3
Saddle Brook, NJ 07663
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1942447792 (973) 685-7121
Hudson MD Group
8.3 mi
Family Medicine
464 HUDSON TER STE 201
Englewood Cliffs, NJ 07632
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 clinicians in this Medicare group
NPI 1497301998 (201) 503-0828
All Health Services PC
14 mi
Internal Medicine
186 W MARKET ST STE 112-113
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
NPI 1093208266 (973) 435-6666
Gastroenterology Consultants Of North Jersey PC
25 mi
Specialist
2829 OCEAN PARKWAY
Brooklyn, NY 11235
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1780846733 (718) 743-8668

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
122 services106 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
52 services52 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
47 services47 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES

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

ALLIANCE SPINE ASSOCIATES LLC
Anesthesiology (Pain Medicine)
39-40 BROADWAY STE 1
FAIR LAWN, NJ 07410
Bergen County (201) 509-8998

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 Roman Kosiborod's NPI number?

The NPI number for Roman Kosiborod is 1831192079. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Roman Kosiborod located?

Roman Kosiborod practices at 39-40 Broadway Ste 1, Fair Lawn, NJ 07410. The listed phone number is (201) 509-8998.

What is Roman Kosiborod's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Roman Kosiborod enrolled in Medicare?

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

Which organizations bill Medicare for Roman Kosiborod's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roman Kosiborod reassigns Medicare benefits to 4 organizations: Comprehensive Pain Medicine And Anesthesia Group, PC (Saddle Brook, NJ), Hudson MD Group (Englewood Cliffs, NJ), All Health Services PC (Newark, NJ) and Gastroenterology Consultants Of North Jersey PC (Brooklyn, NY). Each 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 Roman Kosiborod'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 Roman Kosiborod was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.