Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Benjamin Raphael Roman, MD

Individual provider Otolaryngology Physician · NPI 1922204148

Dr. Benjamin Raphael Roman, MD is an Otolaryngology in New York, New York. Qualified in 2007, 19 years ago. Practices with MSKCC Surgery Group, a 365-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2007
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

1275 York Ave Rm C-1061
New York, NY 10065-6007
Phone: (212) 639-7233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 264061 (NY)

Record details

NPI number1922204148
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESJuly 27, 2015

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Mskcc Surgery Group — 365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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