GUSTAVO SANROMAN (NPI# 1619917960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619917960 |
| Entity Type | Individual |
| Full Name | GUSTAVO SANROMAN |
| Credential | M.D. |
| Practice Address |
5225 Route 347 Suite 70 Port Jefferson Station NY 11776-2053 |
| Mailing Address |
45 Research Way Ste 105 East Setauket NY 11733-6401 |
| Practice Telephone | 8006453203 |
| Practice Fax Number | 6314749169 |
| Mailing Telephone | 6316752125 |
| Mailing Fax Number | 6316752628 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 173068 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
5225 ROUTE 347 SUITE 70 |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497929244 | Nicholas John Nicastro Jr. | Dentist | 5225 Route 347, Suite 52, Port Jefferson Station, NY 11776-2053 | 2008-04-14 |
| 1265606016 | Nicholas John Nicastro | Dentist | 5225 Route 347, Suite 52, Port Jefferson Station, NY 11776-2053 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508891425 | Thomas P. Erhart | Obstetrics & Gynecology | 1500-11 Route 112, Suites A & B, Port Jefferson Station, NY 11776-3060 | 2006-07-11 |
| 1902850878 | Dana L Brenner | Obstetrics & Gynecology | 5225 Rte 347 Ste 70, Port Jefferson Station, NY 11776-2061 | 2006-05-22 |
| 1457350795 | Jerry Ninia | Obstetrics & Gynecology | 4 Roosevelt Ave, Port Jefferson Station, NY 11776-3363 | 2005-07-19 |
| 1508162959 | Jerry G Ninia Mdpc | Obstetrics & Gynecology | 1 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1599 | 2011-02-02 |
| 1235361643 | Argen-medical, Pllc | Obstetrics & Gynecology | 5225 Route 347 Ste 70, Port Jefferson Station, NY 11776-2061 | 2009-08-18 |
| 1811127632 | Dr. Jerry Ninia Ob-gyn Pllc | Obstetrics & Gynecology | 1 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1599 | 2009-07-15 |
| 1689800633 | Thomas P. Erhart Do PC | Obstetrics & Gynecology | 1500 Route 112, Bldg 11, Suite B, Port Jefferson Station, NY 11776-3060 | 2009-06-04 |
| 1851527972 | Washington Park Women's Health PC | Obstetrics & Gynecology | 1500 Route 112, Bldg 11 Suite A, Port Jefferson Station, NY 11776-3060 | 2009-06-03 |
| 1750468435 | Theodore Goldberg | Obstetrics & Gynecology | 12 Medical Dr, Port Jefferson Station, NY 11776-1588 | 2006-11-01 |
| 1699852384 | Dreux Patton | Obstetrics & Gynecology | 12 Medical Dr, Port Jefferson Station, NY 11776-1588 | 2006-11-01 |
| Find all providers in PORT JEFFERSON STATION | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on GUSTAVO SANROMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.