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

Individual provider Specialist · NPI 1831192079

Dr. Roman N Kosiborod, DO is an Anesthesiology in Fair Lawn, New Jersey. Qualified in 1998, 28 years ago. Practices with Hudson MD Group, a 108-clinician group and works from 2 locations. Licensed in New Jersey.

Years since qualifying
28
Licensed in
NJ
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

39-40 Broadway Ste 1
Fair Lawn, NJ 07410
Phone: (201) 509-8998
Fax: (973) 246-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 429 Crestwood Ave, Hackensack, NJ 07601-1444 — (201) 342-5057

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MB07566200 (NJ)

Record details

NPI number1831192079
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESApril 17, 2019
Mailing address387 Vance Ave, Franklin Lakes, NJ 07417-3016

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Hudson Md Group — 108 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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