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

Dr. Roman Koldayev, MD

Individual provider Internal Medicine Physician · NPI 1790766970

Dr. Roman Koldayev, MD is an Internal Medicine in Lawrence, New York. Qualified in 1986, 40 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
Licensed in
NY
In the registry since
2005
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

215 Rockaway Tpke
Lawrence, NY 11559-1216
Phone: (516) 374-5024
Fax: (516) 374-5816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 206990 (NY)

Record details

NPI number1790766970
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 7, 2005
Last updated in NPPESMarch 19, 2012
Mailing address215 Rockaway Tpke, Lawrence, NY 11559-1216

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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