Jordan Tyler Romeo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013752 Issued in NY

Practice address

135 N. Court St.
Wampsville, NY 13163

Phone

(315) 280-0586

Fax

(315) 282-2332

NPI assigned

Aug 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Lifepower Chiropractic PLLCGroup PAC ID 3971080086, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifepower Chiropractic, PLLC

  • Chiropractor
  • Wampsville, NY
  • NPI 1891571568
  Medicare reassignment Care Compare group NPD
• Dr Neil P Miller

  • Durable Medical Equipment & Medical Supplies
  • Saranac Lake, NY
  • NPI 1639351752
  NPD (past)

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1013791292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "131630013",
            "telephone_number": "315-280-0586",
            "fax_number": "315-282-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N. COURT ST.",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "13163",
            "telephone_number": "315-280-0586",
            "fax_number": "315-282-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMEO",
        "first_name": "JORDAN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Rose Reaves, MSW INTERN
• Gary Roy Roberts, CASAC
• Jahnae Nicole Roberts
• Chloe Anna Rogers, LMSW
• Cassandra Romeo
• Shannyn Lea Ryan, LCSW
• Jessica Salay
• Amintha M. Selvarajah, PA-C
• Marcie Soule, LMSW
• Russell James Stewart

• Chiropractor in Wampsville, NY
• Providers in Wampsville, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.