Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonio Regino Roman, MD

Individual provider Internal Medicine Physician · NPI 1396774675

Antonio Regino Roman, MD is a Cardiovascular Disease (Cardiology) in Jamestown, New York. Graduated from University of Rochester School of Medicine and Dentistry in 1986, 40 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15 S Main St Ste 110
Jamestown, NY 14701-6626
Phone: (716) 483-2320
Fax: (716) 484-2582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 172738-01 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 172738-01 (NY)

Record details

NPI number1396774675
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESJanuary 25, 2024
Certification dateMay 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 1986 (40 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jamestown