Roman Povolotskiy, MD is a
Student In An Organized Health Care Education/training Program physician based in Newark, New Jersey. Roman Povolotskiy is licensed to practice in * (Not Available) (license number ) and his current practice location is 90 Bergen St Ste 8100, Newark, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 972-2548.
NPI number for Roman Povolotskiy is 1225667355 and his current mailing address is 90 Bergen St Ste 8100, Newark, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225667355.
Physician's Profile
Full Name | Roman Povolotskiy |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 90 Bergen St Ste 8100, Newark, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225667355
- Provider Enumeration Date: 04/01/2020
- Last Update Date: 01/16/2025
Medical Identifiers
Medical identifiers for Roman Povolotskiy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225667355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 25MA12473000 (New Jersey) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roman Povolotskiy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Roman Povolotskiy, MD 90 Bergen St Ste 8100, Newark, NJ 07103-2425 Ph: (973) 972-2548 | Roman Povolotskiy, MD 90 Bergen St Ste 8100, Newark, NJ 07103-2425 Ph: (973) 972-2548 |
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