Individual provider Active NPI

Italo Romano, DC

  • Chiropractor
  • Webster, NY
National Provider Identifier
1053048173
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013608 Issued in NY
Practice address
725 Ridge Rd
Webster, NY 14580-2450
Phone
(585) 671-0934
Fax
(585) 671-9082
NPI assigned
Aug 8, 2022
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013608 NY Primary

Addresses

Primary practice location

725 Ridge Rd
Webster, NY 14580-2450

Mailing address

725 Ridge Rd
Webster, NY 14580-2450
Phone (585) 671-0934

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614000104 NY Practitioner - Chiropractic 7113385717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshorn Chiropractic P.C.Group PAC ID 7214996123, 4 clinicians

Practice addresses (Care Compare)

725 Ridge Rd
Webster, NY 14580-2450
Phone (585) 671-0934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013608NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Goshorn Chiropractic P.C. Chiropractor CurrentSince May 8, 2023 Accepting new patients
Highland Hospital of Rochester PastSince Aug 14, 2022 Accepting new patients

Locations

725 Ridge Rd
Webster, NY 14580
Phone (585) 671-0934

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1053048173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802450",
            "telephone_number": "585-671-0934",
            "fax_number": "585-671-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802450",
            "telephone_number": "585-671-0934",
            "fax_number": "585-671-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "ITALO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.