Emily D Roman (NPI# 1700280146, PAC ID# 8820317472) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1700280146 |
| PAC ID by PECOS | 8820317472 |
| Professional Enrollment ID | I20150501001376 |
| Full Name | Emily D Roman |
| Organization Legal Name | QMG 2 LLC |
| Address |
1918 Black Rock Tpke Fairfield CT 06825-3543 |
| Phone Number | 2035838400 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0345541512 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070010 | BRIDGEPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 161 Boston Ave, Bridgeport, CT 06610-1662 | 2033334400 | QUENTIN MEDICAL GROUP LLC |
| 1300 Post Rd, Suite 202, Fairfield, CT 06430-6038 | 2032558827 | FAIRFIELD MEDICAL GROUP, LLC |
| 1918 Black Rock Tpke, Fairfield, CT 06825-3543 | 2035838400 | QMG 2 LLC |
| 389 Bridgeport Ave, Shelton, CT 06484-5303 | 2035674171 | QMG3 LLC |
| Organization Legal Name | QMG 2 LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manuela M Aguilar | Physician Assistant | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Marianna B Carlisi | Physician Assistant | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Stephanie Lauren Gunpat | Nurse Practitioner | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Cathleen M Azarigian | Nurse Practitioner | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Margaret A Romero | Nurse Practitioner | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Steven M Heffer | Emergency Medicine | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Chloe Michelle Wilson | Physician Assistant | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Sarah Knauf | Nurse Practitioner | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Carly Krisavage | Physician Assistant | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Susana M Querido | Family Medicine | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Street Address |
1918 BLACK ROCK TPKE |
| City | FAIRFIELD |
| State | CT |
| Zip | 06825-3543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manuela M Aguilar | Physician Assistant | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Marianna B Carlisi | Physician Assistant | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Stephanie Lauren Gunpat | Nurse Practitioner | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Cathleen M Azarigian | Nurse Practitioner | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Margaret A Romero | Nurse Practitioner | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Steven M Heffer | Emergency Medicine | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Chloe Michelle Wilson | Physician Assistant | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Sarah Knauf | Nurse Practitioner | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Carly Krisavage | Physician Assistant | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Susana M Querido | Family Medicine | Qmg 2 LLC | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George P Kelly | Psychiatry | 113 Sky Top Dr, Fairfield, CT 06825-1216 | |
| Stephanie J Schacher | Psychologist, Clinical | 123 Saxonwood Rd, Fairfield, CT 06825-2362 | |
| Martin H Klein | Psychologist, Clinical | 123 Saxonwood Rd, Fairfield, CT 06825-2362 | |
| Richard H Aronoff | Podiatry | 227 Bailey Rd, Fairfield, CT 06825-2607 | |
| Jose Reyes | Obstetrics/gynecology | Affiliates In Women's Care LLC | 309 Stillson Rd, Fl 2, Fairfield, CT 06825-3213 |
| Elenita G Espina | Obstetrics/gynecology | Affiliates In Women's Care LLC | 309 Stillson Rd, Fl 2, Fairfield, CT 06825-3213 |
| Antonela Barbu | Family Medicine | St. Vincent's Multispecialty Group | 2238 Black Rock Tpke, Fairfield, CT 06825-3219 |
| Cary Goodman | Psychologist, Clinical | 2335 Black Rock Turnpike, Fairfield, CT 06825-3220 | |
| Amy Payson | Certified Clinical Nurse Specialist (cns) | 2335 Black Rock Tpke, Fairfield, CT 06825-3220 | |
| Christina J Taylor | Psychologist, Clinical | 2335 Black Rock Tpke, Fairfield, CT 06825-3220 | |
| Find all physicians in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FAIRFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Emily D Roman.
| 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.