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

Individual provider Physician Assistant · NPI 1811877897

Roman Bogomolny, PA is a Physician Assistant in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

506 6th St
Brooklyn, NY 11215-3609
Phone: (718) 780-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 034240 (NY)

Record details

NPI number1811877897
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 2, 2025
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

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