Active NPI
Jennifer Marie Romanow, M.D.
- Family Medicine Physician
- Dumfries, VA
National Provider Identifier
1043406762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101244884
- Practice address
- 3990 Fettler Park Dr
Suite B
Dumfries, VA 22025-1997 - Phone
- (888) 381-4858
- NPI assigned
- Sep 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101244884 | VA | Primary |
Addresses
Primary practice location
3990 Fettler Park Dr
Suite B
Dumfries, VA 22025-1997
Mailing address
1025 N Fillmore St
#321
Arlington, VA 22201-6701
Phone (703) 888-6135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101244884 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1043406762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 N FILLMORE ST",
"address_2": "#321",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222016701",
"telephone_number": "703-888-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 FETTLER PARK DR",
"address_2": "SUITE B",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220251997",
"telephone_number": "888-381-4858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANOW",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-17",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101244884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dumfries, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.