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

Dr. Roman Peter Urbanczyk, MD

Individual provider Internal Medicine Physician · NPI 1114933918

Dr. Roman Peter Urbanczyk, MD is an Internal Medicine in Valley Stream, New York. Qualified in 1987, 39 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
39
Licensed in
NY
In the registry since
2006
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 Fletcher Ave
Valley Stream, NY 11580-4000
Phone: (516) 825-3666
Fax: (516) 872-5133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 182869 (NY)

Record details

NPI number1114933918
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 1, 2006
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023
Mailing address15 Fletcher Ave, Valley Stream, NY 11580

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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