Guillermo A San Roman, MD | |
1630 Deer Park Ave, Deer Park, NY 11729-5210 | |
(631) 242-6166 | |
(631) 242-8768 |
Full Name | Guillermo A San Roman |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 43 Years |
Location | 1630 Deer Park Ave, Deer Park, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386668499 | NPI | - | NPPES |
01453130 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 150903 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ns/lij Hs Southside Hospital | Bay shore, NY | Hospital |
Good Samaritan Hospital Medical Center | West islip, NY | Hospital |
North Shore University Hospital | Manhasset, NY | Hospital |
Ns/lij Hs Huntington Hospital | Huntington, NY | Hospital |
Peconic Bay Medical Center | Riverhead, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore - Lij Cardiology At Deer Park Pc | 4486879418 | 8 |
Entity Name | Cardiac Ekg Interpretation, P. C. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386665644 PECOS PAC ID: 2466345103 Enrollment ID: O20050817001042 |
Entity Name | North Shore - Lij Cardiology At Deer Park Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972941953 PECOS PAC ID: 4486879418 Enrollment ID: O20140708001692 |
Mailing Address | Practice Location Address |
---|---|
Guillermo A San Roman, MD 1630 Deer Park Ave, Deer Park, NY 11729-5210 Ph: (631) 242-6166 | Guillermo A San Roman, MD 1630 Deer Park Ave, Deer Park, NY 11729-5210 Ph: (631) 242-6166 |
Kevin S Lee, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1649 Deer Park Avenue, Deer Park, NY 11729 Phone: 631-667-8178 Fax: 631-667-3859 | |
Adam James Kupersmith, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1630 Deer Park Ave, Deer Park, NY 11729 Phone: 631-242-6166 Fax: 631-242-8768 | |
Dr. Sharmila Shah, MD,MPH Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 227 W 11th St, Deer Park, NY 11729 Phone: 631-565-5192 | |
Dr. Lance Scott Lefkowitz, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1630 Deer Park Ave, Deer Park, NY 11729 Phone: 631-242-6166 Fax: 631-242-8768 | |
Abraham T. Schneider, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1630 Deer Park Ave, Deer Park, NY 11729 Phone: 631-242-6166 Fax: 631-242-8768 | |
Dr. Daniel R. Landolphi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1920 Deer Park Ave, Suite104, Deer Park, NY 11729 Phone: 631-392-1680 Fax: 631-392-1683 |