Individual provider Active NPI

Serafina Romano

  • Audiologist
  • Dearborn, MI
National Provider Identifier
1003295585
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000653 Issued in MI
Practice address
22731 Newman St
Ste 120
Dearborn, MI 48124-2034
Phone
(313) 582-8852
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000653 MI Primary

Addresses

Primary practice location

22731 Newman St
Ste 120
Dearborn, MI 48124-2034

Mailing address

22731 Newman St
Ste 120
Dearborn, MI 48124-2034
Phone (313) 582-8852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701002129 MI Practitioner - Qualified Audiologist 8426360595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000653MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn Hearing AIDS Inc Audiologist CurrentSince Jun 11, 2015 Accepting new patients

Locations

22731 Newman St
Ste 120
Dearborn, MI 48124
Phone (313) 582-8852

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1003295585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22731 NEWMAN ST",
            "address_2": "STE 120",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242034",
            "telephone_number": "313-582-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22731 NEWMAN ST",
            "address_2": "STE 120",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242034",
            "telephone_number": "313-582-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "SERAFINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.