Individual provider Active NPI

Carmen Romano, DC

  • Chiropractor
  • Madison, NJ
National Provider Identifier
1023037520
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00562600 Issued in NJ
Practice address
210 Main St
Madison
Madison, NJ 07940-2209
Phone
(973) 377-6700
Fax
(973) 377-8008
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00562600 NJ Primary

Addresses

Primary practice location

210 Main St
Madison
Madison, NJ 07940-2209

Mailing address

210 Main St
Madison
Madison, NJ 07940-2209
Phone (973) 377-6700

Other identifiers 1

IdentifierTypeStateIssuer
810594292DOtherNJBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000263 NJ Practitioner - Chiropractic 8921907403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Medical and Sports Rehabilitation L.L.CGroup PAC ID 2769381243, 11 clinicians

Practice addresses (Care Compare)

345 Main St
Madison, NJ 07940-2383
Phone (973) 377-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Medical and Sports Rehabilitation L.L.C CurrentSince May 15, 2003 Accepting new patients
Madison Medical and Sports Rehabilitation L.L.C CurrentSince May 15, 2003 Accepting new patients
Denville Medical Health Center & Sports Rehab P.C. Chiropractor PastSince Jan 1, 2003 Accepting new patients

Locations

210 Main St
Madison, NJ 07940
Phone (973) 377-6688

345 Main St
Madison, NJ 07940
Phone (973) 377-6700

Organizations & group practices 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023037520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MAIN ST",
            "address_2": "MADISON",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402209",
            "telephone_number": "973-377-6700",
            "fax_number": "973-377-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MAIN ST",
            "address_2": "MADISON",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402209",
            "telephone_number": "973-377-6700",
            "fax_number": "973-377-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00562600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "810594292D",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.