Organization Active NPI

Rome Medical Practice P.C.

Doing business as Upstate Urology of Rome

  • Urology Physician
  • Rome, NY
National Provider Identifier
1083962443
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ROME MEDICAL PRACTICE P.C.
Doing business as
Upstate Urology of Rome
Practice address
107 E Chestnut St
Suite 102
Rome, NY 13440-2834
Phone
(315) 356-7390
Fax
(315) 356-7393
NPI assigned
Aug 16, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Mr. Chester Patrick, M.D.NPI 1740266519
Title
President
Phone
(315) 336-0250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

107 E Chestnut St
Suite 102
Rome, NY 13440-2834

Mailing address

1819 Black River Blvd N
Rome, NY 13440-2451
Phone (315) 337-0429

Other names 1

  • Upstate Urology of Rome Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rome Medical Practice PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

107 E Chestnut St
Ste 102
Rome, NY 13440
Phone (315) 338-9200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1083962443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BLACK RIVER BLVD N",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402451",
            "telephone_number": "315-337-0429",
            "fax_number": "315-356-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E CHESTNUT ST",
            "address_2": "SUITE 102",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402834",
            "telephone_number": "315-356-7390",
            "fax_number": "315-356-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME MEDICAL PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-336-0250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstate Urology of Rome",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.