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

Edwin R Roman, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1407871700

Edwin R Roman, DPM is a Podiatry in Elizabeth, New Jersey. Qualified in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
30
Licensed in
NJ
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

430 Morris Ave
Elizabeth, NJ 07208-3609
Phone: (908) 352-1400
Fax: (908) 352-7900
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 25MD00283800 (NJ)

Record details

NPI number1407871700
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 13, 2006
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing addressPo Box 493, Elizabeth, NJ 07207-0493

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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