Roman Kosiborod (NPI# 1831192079, PAC ID# 5991798118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1831192079 |
| PAC ID by PECOS | 5991798118 |
| Professional Enrollment ID | I20040405001075 |
| Full Name | Roman Kosiborod |
| Organization Legal Name | GASTROENTEROLOGY CONSULTANTS OF NORTH JERSEY PC |
| Address |
24 -03 Broadway Fair Lawn NJ 07410-3053 |
| Phone Number | 2017917760 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1998 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 4880750066 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 24 -03 Broadway, Fair Lawn, NJ 07410-3053 | 2017917760 | GASTROENTEROLOGY CONSULTANTS OF NORTH JERSEY PC |
| 39 -40 Broadway, Suite 1, Fair Lawn, NJ 07410-5413 | 2015098998 | ALLIANCE SPINE ASSOCIATES LLC |
| Organization Legal Name | GASTROENTEROLOGY CONSULTANTS OF NORTH JERSEY PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary I Gorodokin | Gastroenterology | Gastroenterology Consultants of North Jersey PC | 2829 Ocean Pkwy, Brooklyn, NY 11235-7869 |
| David Wayne Hansen | Anesthesiology | Gastroenterology Consultants of North Jersey PC | 24 -03 Broadway, Fair Lawn, NJ 07410-3053 |
| Street Address |
24 -03 BROADWAY |
| City | FAIR LAWN |
| State | NJ |
| Zip | 07410-3053 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary A Benigno | Surgical Oncology | 24 -03 Broadway, Fair Lawn, NJ 07410-3053 | |
| Natalia Raeva | Optometry | 24 -03 Broadway, Fair Lawn, NJ 07410-3053 | |
| David Wayne Hansen | Anesthesiology | Gastroenterology Consultants of North Jersey PC | 24 -03 Broadway, Fair Lawn, NJ 07410-3053 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Balch | Physical Therapy | Orthopedic Care Physical Therapy Center | 23-00 Route 208, Fair Lawn, NJ 07410 |
| Rachel Trotter | Physical Therapy | Orthopedic Care Physical Therapy Center | 23-00 Route 208, Fair Lawn, NJ 07410 |
| Pamela Joyce Ritzler | Physical Therapy | Orthopedic Care Physical Therapy Center | 23-00 Route 208, Fair Lawn, NJ 07410 |
| Igor Gefter | Psychiatry | 12 -71, Fair Lawn, NJ 07410-1104 | |
| Michael Sherman | Chiropractic | 6 -15 Morlot Ave, Fair Lawn, NJ 07410-1421 | |
| Jeanine E Graves | Optometry | 11 -11 River Rd, Fair Lawn, NJ 07410-1463 | |
| Tahira M Bokhari | Allergy/immunology | 1715 Maple Ave, Fairlawn, NJ 07410-1523 | |
| Michael D Ryan | Physical Therapy | Dmr Rehabilitation | 17 -15 Maple Ave, Suite 200, Fair Lawn, NJ 07410-1552 |
| Jerome I Barr | Rheumatology | 17 -15 Maple Ave, Suite 2, Fair Lawn, NJ 07410-1552 | |
| Daniel T Ryan | Physical Therapy | Dmr Rehabilitation | 17 -15 Maple Ave, Suite 200, Fair Lawn, NJ 07410-1552 |
| Find all physicians in zip 07410 | |||
| City | FAIR LAWN |
| Zip Code | 07410 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | FAIR LAWN + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Roman Kosiborod.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.